Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,142.02 / $9,859.00	Facility		$100.00	$2,142.02	$9,859.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,588.94 / $5,588.94 / $5,588.94	Facility	50	$5,588.94	$5,588.94	$5,588.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.02 / $619.73 / $1,219.71	Professional		$480.02	$619.73	$1,219.71
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 $486.81 / $747.08 / $1,083.26	Professional		$486.81	$747.08	$1,083.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $730.21 / $1,120.61 / $1,624.89	Professional	50	$730.21	$1,120.61	$1,624.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.14 / $1,011.60 / $1,531.32	Professional		$641.14	$1,011.60	$1,531.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $670.54 / $1,112.86 / $2,195.25	Professional		$670.54	$1,112.86	$2,195.25
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 $812.25 / $957.03 / $1,899.61	Professional		$812.25	$957.03	$1,899.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $428.95 / $556.26 / $752.54	Professional		$428.95	$556.26	$752.54