Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,059.90 / $2,331.21	Facility		$100.00	$1,059.90	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $442.21 / $794.93 / $879.08	Facility	54	$442.21	$794.93	$879.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.43 / $363.28 / $466.62	Professional		$300.43	$363.28	$466.62
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 $341.90 / $535.26 / $737.37	Professional		$341.90	$535.26	$737.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.13 / $1,306.21 / $1,351.93	Facility		$578.13	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $404.69 / $404.69 / $404.69	Facility	54	$404.69	$404.69	$404.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.32 / $686.48 / $1,059.07	Professional		$451.32	$686.48	$1,059.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $410.98 / $645.24 / $1,208.08	Professional		$410.98	$645.24	$1,208.08
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 $417.88 / $551.10 / $1,081.77	Professional		$417.88	$551.10	$1,081.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $261.04 / $315.52 / $430.04	Professional		$261.04	$315.52	$430.04