Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,819.70 / $9,772.37	Facility		$309.03	$1,819.70	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $245.47	Professional		$89.13	$120.23	$245.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $257.04 / $288.40	Professional	50	$257.04	$257.04	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $269.15	Professional		$97.72	$190.55	$269.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $288.40 / $407.38	Professional	50	$147.91	$288.40	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $354.81	Professional		$125.89	$199.53	$354.81
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $354.81	Professional		$117.49	$199.53	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $338.84	Professional		$107.15	$173.78	$338.84
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $173.78	Facility		$109.65	$109.65	$173.78
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	50	$165.96	$165.96	$165.96