Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $835.00 / $2,331.21	Facility		$100.00	$835.00	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.44 / $626.25 / $665.02	Facility	54	$345.44	$626.25	$665.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.10 / $286.12 / $470.67	Professional		$242.10	$286.12	$470.67
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 $266.86 / $409.52 / $574.17	Professional		$266.86	$409.52	$574.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.36 / $1,306.21 / $1,351.93	Facility		$450.36	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.25 / $315.25 / $315.25	Facility	54	$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.19 / $526.89 / $824.45	Professional		$348.19	$526.89	$824.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $319.16 / $502.17 / $942.93	Professional		$319.16	$502.17	$942.93
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 $325.98 / $447.25 / $747.10	Professional		$325.98	$447.25	$747.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $204.53 / $247.21 / $331.65	Professional		$204.53	$247.21	$331.65