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 $584.94 / $703.37 / $1,328.92	Professional		$584.94	$703.37	$1,328.92
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $98.09 / $105.51 / $247.22	Professional	55	$98.09	$105.51	$247.22
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 $656.63 / $1,032.88 / $1,781.39	Professional		$656.63	$1,032.88	$1,781.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.39 / $1,193.81 / $1,582.65	Professional		$865.39	$1,193.81	$1,582.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $826.88 / $1,350.34 / $2,674.51	Professional		$826.88	$1,350.34	$2,674.51
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 $945.48 / $1,112.80 / $2,041.98	Professional		$945.48	$1,112.80	$2,041.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $547.22 / $656.66 / $1,036.43	Professional		$547.22	$656.66	$1,036.43