Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $772.52 / $2,331.21	Facility		$100.00	$772.52	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $329.68 / $579.39 / $642.51	Facility	54	$329.68	$579.39	$642.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.64 / $267.24 / $481.03	Professional		$226.64	$267.24	$481.03
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 $254.57 / $395.93 / $549.02	Professional		$254.57	$395.93	$549.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.72 / $428.72 / $428.72	Facility		$428.72	$428.72	$428.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $300.10 / $300.10 / $300.10	Facility	54	$300.10	$300.10	$300.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.14 / $507.06 / $783.69	Professional		$336.14	$507.06	$783.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $483.23 / $899.50	Professional		$306.00	$483.23	$899.50
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 $306.50 / $401.70 / $791.23	Professional		$306.50	$401.70	$791.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $192.67 / $232.88 / $315.02	Professional		$192.67	$232.88	$315.02