Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $493.86 / $2,219.94	Facility		$144.27	$493.86	$2,219.94
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $285.36 / $436.81 / $491.09	Facility	54	$285.36	$436.81	$491.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $195.70 / $450.24	Professional		$136.69	$195.70	$450.24
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 $179.85 / $267.72 / $404.50	Professional		$179.85	$267.72	$404.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $269.77 / $401.58 / $606.75	Professional	50	$269.77	$401.58	$606.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.94 / $383.38 / $681.67	Professional		$227.94	$383.38	$681.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $227.74 / $435.23 / $732.54	Professional		$227.74	$435.23	$732.54
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 $205.59 / $308.17 / $733.81	Professional		$205.59	$308.17	$733.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $139.03 / $177.56 / $248.36	Professional		$139.03	$177.56	$248.36