Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $797.50 / $2,331.21	Facility		$100.00	$797.50	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $344.08 / $598.12 / $657.90	Facility	54	$344.08	$598.12	$657.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.50 / $271.88 / $366.49	Professional		$226.50	$271.88	$366.49
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 $265.89 / $419.72 / $573.42	Professional		$265.89	$419.72	$573.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.16 / $449.16 / $449.16	Facility		$449.16	$449.16	$449.16
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.41 / $314.41 / $314.41	Facility	54	$314.41	$314.41	$314.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.84 / $539.76 / $823.36	Professional		$355.84	$539.76	$823.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $319.61 / $509.37 / $951.36	Professional		$319.61	$509.37	$951.36
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 $324.14 / $413.21 / $840.07	Professional		$324.14	$413.21	$840.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $199.94 / $245.01 / $334.11	Professional		$199.94	$245.01	$334.11