Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $915.34 / $2,331.21	Facility		$100.00	$915.34	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $377.95 / $686.51 / $761.83	Facility	54	$377.95	$686.51	$761.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.52 / $313.64 / $439.39	Professional		$262.52	$313.64	$439.39
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 / $455.40 / $634.32	Professional		$296.95	$455.40	$634.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.31 / $495.31 / $495.31	Facility		$495.31	$495.31	$495.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.72 / $346.72 / $346.72	Facility	54	$346.72	$346.72	$346.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.84 / $585.22 / $900.06	Professional		$387.84	$585.22	$900.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $351.49 / $556.52 / $1,033.21	Professional		$351.49	$556.52	$1,033.21
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 $356.65 / $468.22 / $922.27	Professional		$356.65	$468.22	$922.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $224.04 / $270.80 / $366.33	Professional		$224.04	$270.80	$366.33