Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $768.42 / $2,331.21	Facility		$100.00	$768.42	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $312.92 / $576.30 / $584.05	Facility	54	$312.92	$576.30	$584.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.93 / $243.61 / $362.26	Professional		$214.93	$243.61	$362.26
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 $250.36 / $375.78 / $526.88	Professional		$250.36	$375.78	$526.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.24 / $1,306.21 / $1,351.93	Facility		$278.24	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.34 / $192.34 / $192.34	Facility	54	$192.34	$192.34	$192.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.55 / $476.83 / $741.47	Professional		$311.55	$476.83	$741.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $286.61 / $450.89 / $854.90	Professional		$286.61	$450.89	$854.90
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 $282.93 / $394.71 / $797.05	Professional		$282.93	$394.71	$797.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $186.03 / $220.60 / $301.83	Professional		$186.03	$220.60	$301.83