Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,459.93 / $2,341.64	Facility		$100.00	$1,459.93	$2,341.64
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $556.41 / $1,094.95 / $1,187.97	Facility	54	$556.41	$1,094.95	$1,187.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $475.57 / $660.70	Professional		$394.97	$475.57	$660.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.36 / $681.40 / $931.31	Professional		$436.36	$681.40	$931.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.07 / $1,751.69 / $1,812.99	Facility		$736.07	$1,751.69	$1,812.99
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $515.25 / $515.25 / $515.25	Facility	54	$515.25	$515.25	$515.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.16 / $869.98 / $1,349.20	Professional		$589.16	$869.98	$1,349.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $519.07 / $826.67 / $1,628.44	Professional		$519.07	$826.67	$1,628.44
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.73 / $694.19 / $1,411.83	Professional		$560.73	$694.19	$1,411.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $338.41 / $428.84 / $606.04	Professional		$338.41	$428.84	$606.04