Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $225.88 / $5,121.56	Facility		$70.93	$225.88	$5,121.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $120.17 / $159.69	Professional		$53.35	$120.17	$159.69
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 $57.27 / $92.42 / $150.06	Professional		$57.27	$92.42	$150.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.90 / $138.63 / $225.09	Professional	50	$85.90	$138.63	$225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $137.96 / $238.76	Professional		$73.16	$137.96	$238.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $138.47 / $272.01	Professional		$65.81	$138.47	$272.01
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 $108.06 / $192.84 / $313.56	Professional		$108.06	$192.84	$313.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $68.95 / $122.33	Professional		$43.76	$68.95	$122.33