Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $879.50 / $2,331.21	Facility		$100.00	$879.50	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $588.40 / $1,161.44 / $1,272.19	Facility	54	$588.40	$1,161.44	$1,272.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.04 / $502.54 / $653.85	Professional		$420.04	$502.54	$653.85
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 $461.61 / $726.07 / $994.01	Professional		$461.61	$726.07	$994.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.84 / $1,306.21 / $1,351.93	Facility		$778.84	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $545.19 / $545.19 / $545.19	Facility	54	$545.19	$545.19	$545.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.02 / $933.35 / $1,441.88	Professional		$623.02	$933.35	$1,441.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $553.13 / $886.76 / $1,722.35	Professional		$553.13	$886.76	$1,722.35
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 $584.70 / $733.06 / $1,403.05	Professional		$584.70	$733.06	$1,403.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $357.08 / $457.31 / $619.17	Professional		$357.08	$457.31	$619.17