Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.76 / $201.93 / $467.90	Facility		$80.76	$201.93	$467.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $106.59 / $192.40	Professional		$49.81	$106.59	$192.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $330.58 / $330.58 / $330.58	Professional	50	$330.58	$330.58	$330.58
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 $46.58 / $82.81 / $122.64	Professional		$46.58	$82.81	$122.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.90 / $124.22 / $183.96	Professional	50	$78.90	$124.22	$183.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $127.13 / $236.73	Professional		$67.45	$127.13	$236.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $135.90 / $276.58	Professional		$60.75	$135.90	$276.58
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 $111.11 / $199.52 / $426.87	Professional		$111.11	$199.52	$426.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $64.56 / $122.30	Professional		$40.40	$64.56	$122.30