Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $407.42 / $1,749.77	Facility		$100.00	$407.42	$1,749.77
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $298.31 / $536.33 / $539.64	Facility	54	$298.31	$536.33	$539.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $245.36 / $407.42	Professional		$198.53	$245.36	$407.42
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 $236.13 / $354.42 / $496.93	Professional		$236.13	$354.42	$496.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.22 / $1,306.21 / $1,351.93	Facility		$265.22	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $183.20 / $183.20 / $183.20	Facility	54	$183.20	$183.20	$183.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.58 / $454.48 / $700.48	Professional		$293.58	$454.48	$700.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $270.32 / $425.27 / $814.90	Professional		$270.32	$425.27	$814.90
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 $255.98 / $337.30 / $664.37	Professional		$255.98	$337.30	$664.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $175.81 / $206.52 / $284.79	Professional		$175.81	$206.52	$284.79