Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $861.48 / $2,331.21	Facility		$100.00	$861.48	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $355.73 / $646.11 / $721.40	Facility	54	$355.73	$646.11	$721.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $278.73 / $377.56	Professional		$245.94	$278.73	$377.56
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 $274.95 / $432.10 / $592.97	Professional		$274.95	$432.10	$592.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.51 / $1,306.21 / $1,351.93	Facility		$464.51	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $325.16 / $325.16 / $325.16	Facility	54	$325.16	$325.16	$325.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.59 / $552.96 / $849.33	Professional		$365.59	$552.96	$849.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $330.50 / $524.08 / $975.49	Professional		$330.50	$524.08	$975.49
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 $342.17 / $450.03 / $880.09	Professional		$342.17	$450.03	$880.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $210.38 / $256.69 / $350.03	Professional		$210.38	$256.69	$350.03