Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $390.75 / $699.60 / $790.40	Facility	54	$390.75	$699.60	$790.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.51 / $315.85 / $428.81	Professional		$269.51	$315.85	$428.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.12 / $482.59 / $651.57	Professional		$302.12	$482.59	$651.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $357.43 / $357.43 / $357.43	Facility	54	$357.43	$357.43	$357.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.74 / $626.66 / $964.16	Professional		$413.74	$626.66	$964.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $369.22 / $591.92 / $1,102.90	Professional		$369.22	$591.92	$1,102.90
United Facility/Professional Professional Modifier Low / Median / High Price $384.28 / $489.66 / $993.09	Professional		$384.28	$489.66	$993.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $273.14 / $327.39	Professional		$233.86	$273.14	$327.39