Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $489.39 / $8,965.00	Facility		$100.00	$489.39	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $146.68 / $244.42	Professional		$122.71	$146.68	$244.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.90 / $236.70 / $236.70	Professional	50	$78.90	$236.70	$236.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $188.51 / $272.79	Professional		$117.17	$188.51	$272.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $174.67 / $293.01 / $410.82	Professional	50	$174.67	$293.01	$410.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $1,306.21 / $1,351.93	Facility		$198.85	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.26 / $244.19 / $362.14	Professional		$161.26	$244.19	$362.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $230.50 / $431.37	Professional		$142.38	$230.50	$431.37
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 $159.58 / $232.57 / $386.59	Professional		$159.58	$232.57	$386.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $127.17 / $175.04	Professional		$92.42	$127.17	$175.04