Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,024.40 / $2,341.64	Facility		$100.00	$1,024.40	$2,341.64
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $402.02 / $768.30 / $858.02	Facility	54	$402.02	$768.30	$858.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.94 / $341.35 / $597.03	Professional		$282.94	$341.35	$597.03
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 $315.14 / $496.19 / $692.84	Professional		$315.14	$496.19	$692.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.57 / $529.57 / $529.57	Facility		$529.57	$529.57	$529.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $370.70	Facility	54	$370.70	$370.70	$370.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.67 / $641.30 / $986.24	Professional		$425.67	$641.30	$986.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $378.67 / $607.08 / $1,123.65	Professional		$378.67	$607.08	$1,123.65
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 $397.97 / $522.05 / $1,024.76	Professional		$397.97	$522.05	$1,024.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $239.86 / $298.27 / $406.74	Professional		$239.86	$298.27	$406.74