Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,139.72 / $2,331.21	Facility		$100.00	$1,139.72	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $463.28 / $854.79 / $945.60	Facility	54	$463.28	$854.79	$945.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.50 / $386.53 / $540.17	Professional		$322.50	$386.53	$540.17
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 $358.40 / $562.94 / $772.95	Professional		$358.40	$562.94	$772.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.91 / $1,306.21 / $1,351.93	Facility		$606.91	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $424.84 / $424.84 / $424.84	Facility	54	$424.84	$424.84	$424.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.30 / $721.41 / $1,110.00	Professional		$477.30	$721.41	$1,110.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $430.80 / $680.09 / $1,266.35	Professional		$430.80	$680.09	$1,266.35
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 $448.43 / $604.26 / $1,299.73	Professional		$448.43	$604.26	$1,299.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $274.47 / $334.07 / $455.55	Professional		$274.47	$334.07	$455.55