Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $929.25 / $2,331.21	Facility		$100.00	$929.25	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $382.32 / $696.94 / $748.97	Facility	54	$382.32	$696.94	$748.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.51 / $292.54 / $401.58	Professional		$259.51	$292.54	$401.58
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 $299.99 / $455.89 / $639.07	Professional		$299.99	$455.89	$639.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.07 / $1,306.21 / $1,351.93	Facility		$506.07	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.25 / $354.25 / $354.25	Facility	54	$354.25	$354.25	$354.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.90 / $591.09 / $915.64	Professional		$373.90	$591.09	$915.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $355.14 / $559.20 / $1,049.22	Professional		$355.14	$559.20	$1,049.22
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 $320.41 / $464.59 / $839.78	Professional		$320.41	$464.59	$839.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $229.46 / $276.45 / $372.08	Professional		$229.46	$276.45	$372.08