Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $793.12 / $2,331.21	Facility		$100.00	$793.12	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.74 / $594.84 / $666.83	Facility	54	$345.74	$594.84	$666.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.96 / $275.02 / $373.47	Professional		$235.96	$275.02	$373.47
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 $271.70 / $424.81 / $576.22	Professional		$271.70	$424.81	$576.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.20 / $451.20 / $451.20	Facility		$451.20	$451.20	$451.20
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.83 / $315.83 / $315.83	Facility	54	$315.83	$315.83	$315.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.37 / $549.84 / $840.45	Professional		$341.37	$549.84	$840.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $323.68 / $518.91 / $969.20	Professional		$323.68	$518.91	$969.20
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 $330.54 / $437.25 / $972.92	Professional		$330.54	$437.25	$972.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $250.46 / $341.54	Professional		$199.50	$250.46	$341.54