Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $856.40 / $1,003.50	Facility		$100.00	$856.40	$1,003.50
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.74 / $642.29 / $696.55	Facility	54	$383.74	$642.29	$696.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.86 / $303.94 / $540.66	Professional		$261.86	$303.94	$540.66
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $196.40 / $223.41 / $289.79	Professional	54	$196.40	$223.41	$289.79
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 $295.97 / $454.91 / $635.28	Professional		$295.97	$454.91	$635.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $497.70 / $497.70 / $497.70	Facility		$497.70	$497.70	$497.70
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $348.39 / $348.39 / $348.39	Facility	54	$348.39	$348.39	$348.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.18 / $585.79 / $913.94	Professional		$374.18	$585.79	$913.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $353.97 / $558.00 / $1,045.77	Professional		$353.97	$558.00	$1,045.77
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 $314.70 / $440.58 / $824.81	Professional		$314.70	$440.58	$824.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $219.24 / $267.82 / $362.32	Professional		$219.24	$267.82	$362.32