Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $678.09 / $9,859.00	Facility		$100.00	$678.09	$9,859.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,207.09 / $14,207.09 / $14,207.09	Facility	50	$14,207.09	$14,207.09	$14,207.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.07 / $401.26 / $678.09	Professional		$238.07	$401.26	$678.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.88 / $322.86 / $514.19	Professional		$188.88	$322.86	$514.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $279.95 / $482.11 / $755.65	Professional	50	$279.95	$482.11	$755.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.12 / $1,306.21 / $1,351.93	Facility		$326.12	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.25 / $572.19 / $1,084.54	Professional		$269.25	$572.19	$1,084.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $233.23 / $512.70 / $1,185.23	Professional		$233.23	$512.70	$1,185.23
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.45 / $755.37 / $1,213.42	Professional		$492.45	$755.37	$1,213.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $193.75 / $334.97 / $544.42	Professional		$193.75	$334.97	$544.42