Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.55 / $1,907.47 / $8,150.24	Facility		$186.55	$1,907.47	$8,150.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $971.41 / $3,755.33 / $7,090.48	Facility	50	$971.41	$3,755.33	$7,090.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $186.55 / $339.06	Professional		$139.18	$186.55	$339.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.14 / $660.66 / $702.24	Professional	50	$234.14	$660.66	$702.24
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 $175.71 / $282.25 / $414.68	Professional		$175.71	$282.25	$414.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $263.56 / $423.38 / $622.02	Professional	50	$263.56	$423.38	$622.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.28 / $337.84 / $488.03	Professional		$214.28	$337.84	$488.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $179.60 / $356.29 / $591.62	Professional		$179.60	$356.29	$591.62
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.29 / $299.02 / $611.16	Professional		$214.29	$299.02	$611.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $148.38 / $234.19	Professional		$123.65	$148.38	$234.19