Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $726.89 / $2,331.21	Facility		$100.00	$726.89	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.33 / $545.16 / $552.94	Facility	54	$313.33	$545.16	$552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.75 / $231.60 / $308.93	Professional		$211.75	$231.60	$308.93
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 $242.28 / $364.86 / $511.57	Professional		$242.28	$364.86	$511.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.29 / $1,306.21 / $1,351.93	Facility		$409.29	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $286.50 / $286.50 / $286.50	Facility	54	$286.50	$286.50	$286.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.13 / $477.49 / $734.13	Professional		$306.13	$477.49	$734.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $439.25 / $856.04	Professional		$279.20	$439.25	$856.04
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 $279.20 / $403.92 / $794.63	Professional		$279.20	$403.92	$794.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $215.59 / $292.20	Professional		$182.83	$215.59	$292.20