Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $892.02 / $2,331.21	Facility		$100.00	$892.02	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $378.19 / $669.01 / $745.43	Facility	54	$378.19	$669.01	$745.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $308.14 / $395.90	Professional		$260.50	$308.14	$395.90
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 $296.95 / $456.86 / $629.95	Professional		$296.95	$456.86	$629.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.90 / $492.90 / $492.90	Facility		$492.90	$492.90	$492.90
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.03 / $345.03 / $345.03	Facility	54	$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.61 / $586.21 / $902.58	Professional		$385.61	$586.21	$902.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $351.10 / $556.74 / $1,032.06	Professional		$351.10	$556.74	$1,032.06
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 $356.94 / $469.96 / $1,045.71	Professional		$356.94	$469.96	$1,045.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $223.08 / $269.64 / $367.05	Professional		$223.08	$269.64	$367.05