Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,405.70 / $3,405.70 / $3,405.70	Facility	50	$3,405.70	$3,405.70	$3,405.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $80.40 / $132.12	Professional		$54.54	$80.40	$132.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $85.61 / $125.05	Professional		$49.49	$85.61	$125.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.23 / $127.84 / $187.58	Professional	50	$74.23	$127.84	$187.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $87.34 / $87.34	Facility		$87.34	$87.34	$87.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $124.70 / $222.21	Professional		$72.56	$124.70	$222.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $117.51 / $238.72	Professional		$60.54	$117.51	$238.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $155.72 / $256.27	Professional		$102.56	$155.72	$256.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $67.98 / $98.66	Professional		$44.99	$67.98	$98.66