Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $464.75 / $896.90	Facility		$100.00	$464.75	$896.90
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $348.56 / $613.99 / $672.68	Facility	54	$348.56	$613.99	$672.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.69 / $279.35 / $464.75	Professional		$236.69	$279.35	$464.75
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 $270.42 / $426.03 / $583.20	Professional		$270.42	$426.03	$583.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.77 / $460.77 / $460.77	Facility		$460.77	$460.77	$460.77
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.54 / $322.54 / $322.54	Facility	54	$322.54	$322.54	$322.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.86 / $543.53 / $831.10	Professional		$357.86	$543.53	$831.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $325.05 / $516.11 / $963.96	Professional		$325.05	$516.11	$963.96
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 $336.98 / $430.35 / $847.67	Professional		$336.98	$430.35	$847.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $202.86 / $246.13 / $335.63	Professional		$202.86	$246.13	$335.63