Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.34 / $330.53 / $1,329.00	Facility		$98.34	$330.53	$1,329.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $170.80 / $247.90 / $288.88	Facility	54	$170.80	$247.90	$288.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $121.09 / $235.64	Professional		$84.46	$121.09	$235.64
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 $104.80 / $157.96 / $240.23	Professional		$104.80	$157.96	$240.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $222.45 / $392.96	Professional		$134.22	$222.45	$392.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $255.44 / $426.88	Professional		$133.69	$255.44	$426.88
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 $123.67 / $178.14 / $427.42	Professional		$123.67	$178.14	$427.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $105.61 / $138.03	Professional		$79.26	$105.61	$138.03