Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $973.42 / $2,331.21	Facility		$100.00	$973.42	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $405.16 / $730.06 / $794.27	Facility	54	$405.16	$730.06	$794.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.12 / $324.32 / $471.60	Professional		$281.12	$324.32	$471.60
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 $317.17 / $488.42 / $678.80	Professional		$317.17	$488.42	$678.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.78 / $530.78 / $530.78	Facility		$530.78	$530.78	$530.78
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.55 / $371.55 / $371.55	Facility	54	$371.55	$371.55	$371.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.98 / $626.85 / $967.75	Professional		$414.98	$626.85	$967.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $376.76 / $595.75 / $1,107.50	Professional		$376.76	$595.75	$1,107.50
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 $379.23 / $462.77 / $905.43	Professional		$379.23	$462.77	$905.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $239.79 / $289.82 / $390.54	Professional		$239.79	$289.82	$390.54