Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,819.70 / $9,772.37	Facility		$275.42	$1,819.70	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $302.00	Professional		$79.43	$194.98	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	50	$204.17	$204.17	$204.17
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 $77.62 / $165.96 / $239.88	Professional		$77.62	$165.96	$239.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $251.19 / $354.81	Professional	50	$114.82	$251.19	$354.81
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 $104.71 / $229.09 / $575.44	Professional		$104.71	$229.09	$575.44
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $263.03 / $562.34	Professional		$93.33	$263.03	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $239.88 / $524.81	Professional		$93.33	$239.88	$524.81
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $288.40	Facility		$181.97	$181.97	$288.40
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	50	$269.15	$269.15	$269.15