Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $21,126.00	Facility		$100.00	$2,331.21	$21,126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.63 / $877.78 / $2,072.29	Professional		$813.63	$877.78	$2,072.29
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $122.04 / $131.66 / $310.83	Professional	55	$122.04	$131.66	$310.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.98 / $1,289.82 / $2,224.54	Professional		$819.98	$1,289.82	$2,224.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.61 / $1,490.10 / $1,977.94	Professional		$1,079.61	$1,490.10	$1,977.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,032.58 / $1,686.26 / $3,339.84	Professional		$1,032.58	$1,686.26	$3,339.84
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.66 / $1,419.21 / $2,877.43	Professional		$1,138.66	$1,419.21	$2,877.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $636.08 / $752.19 / $890.51	Professional		$636.08	$752.19	$890.51