Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $586.59 / $2,331.21	Facility		$100.00	$586.59	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $253.56 / $439.94 / $482.02	Facility	54	$253.56	$439.94	$482.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $203.40 / $360.26	Professional		$174.26	$203.40	$360.26
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $130.69 / $150.16 / $192.74	Professional	54	$130.69	$150.16	$192.74
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 $195.70 / $303.20 / $422.06	Professional		$195.70	$303.20	$422.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.43 / $329.43 / $329.43	Facility		$329.43	$329.43	$329.43
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.60 / $230.60 / $230.60	Facility	54	$230.60	$230.60	$230.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.54 / $386.86 / $604.51	Professional		$258.54	$386.86	$604.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $369.31 / $730.98	Professional		$234.34	$369.31	$730.98
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 $216.09 / $303.79 / $596.32	Professional		$216.09	$303.79	$596.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $178.12 / $238.96	Professional		$147.36	$178.12	$238.96