Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,859.00 / $48,778.31	Facility		$100.00	$9,859.00	$48,778.31
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $267.50 / $267.50 / $267.50	Facility	53	$267.50	$267.50	$267.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.49 / $1,100.21 / $1,102.35	Professional		$1,054.49	$1,100.21	$1,102.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29,613.60 / $32,904.00 / $51,885.00	Facility		$29,613.60	$32,904.00	$51,885.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,159.90 / $2,033.25 / $3,340.52	Professional		$1,159.90	$2,033.25	$3,340.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,336.44 / $2,169.85 / $3,299.01	Professional		$1,336.44	$2,169.85	$3,299.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,057.26 / $2,049.76 / $3,652.08	Professional		$1,057.26	$2,049.76	$3,652.08
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,252.45 / $1,900.08 / $4,287.01	Professional		$1,252.45	$1,900.08	$4,287.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $877.15 / $1,052.58 / $1,547.29	Professional		$877.15	$1,052.58	$1,547.29