Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $993.79 / $2,331.21	Facility		$100.00	$993.79	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $420.57 / $745.34 / $807.34	Facility	54	$420.57	$745.34	$807.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.85 / $340.55 / $600.16	Professional		$289.85	$340.55	$600.16
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 $324.76 / $500.79 / $699.35	Professional		$324.76	$500.79	$699.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.30 / $1,306.21 / $1,351.93	Facility		$547.30	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.12 / $383.12 / $383.12	Facility	54	$383.12	$383.12	$383.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.87 / $641.49 / $1,003.08	Professional		$427.87	$641.49	$1,003.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $388.40 / $612.88 / $1,147.50	Professional		$388.40	$612.88	$1,147.50
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 $385.03 / $506.96 / $995.13	Professional		$385.03	$506.96	$995.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $248.60 / $301.95 / $400.22	Professional		$248.60	$301.95	$400.22