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 Professional Modifier Low / Median / High Price $97.82 / $133.53 / $183.07	Professional		$97.82	$133.53	$183.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.22 / $84.33 / $299.58	Professional	50	$56.22	$84.33	$299.58
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 $107.71 / $173.32 / $243.41	Professional		$107.71	$173.32	$243.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $161.56 / $276.98 / $372.46	Professional	50	$161.56	$276.98	$372.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $186.13 / $186.13	Facility		$186.13	$186.13	$186.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $219.56 / $339.82	Professional		$149.22	$219.56	$339.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.61 / $227.82 / $435.55	Professional		$134.61	$227.82	$435.55
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 $159.47 / $202.83 / $384.89	Professional		$159.47	$202.83	$384.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $121.72 / $164.32	Professional		$93.60	$121.72	$164.32