Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.70 / $373.93 / $1,047.59	Facility		$281.70	$373.93	$1,047.59
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $264.37 / $458.01 / $501.56	Facility	52	$264.37	$458.01	$501.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $396.55 / $752.34 / $1,749.77	Facility	54	$396.55	$752.34	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.44 / $316.12 / $527.20	Professional		$267.44	$316.12	$527.20
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 $307.62 / $486.96 / $663.43	Professional		$307.62	$486.96	$663.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.77 / $1,306.21 / $1,351.93	Facility		$523.77	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $419.02 / $419.02 / $419.02	Facility	52	$419.02	$419.02	$419.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $366.64 / $366.64 / $366.64	Facility	54	$366.64	$366.64	$366.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.08 / $624.02 / $953.99	Professional		$409.08	$624.02	$953.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $369.77 / $592.49 / $1,102.90	Professional		$369.77	$592.49	$1,102.90
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 $374.80 / $490.77 / $963.34	Professional		$374.80	$490.77	$963.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $228.18 / $279.82 / $381.57	Professional		$228.18	$279.82	$381.57