Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $823.04 / $8,965.00	Facility		$100.00	$823.04	$8,965.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $617.28 / $617.28 / $628.36	Facility	54	$617.28	$617.28	$628.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.91 / $486.11 / $621.88	Professional		$437.91	$486.11	$621.88
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 $479.38 / $725.82 / $1,017.67	Professional		$479.38	$725.82	$1,017.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.60 / $1,306.21 / $1,351.93	Facility		$818.60	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $573.02 / $573.02 / $573.02	Facility	54	$573.02	$573.02	$573.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.38 / $939.27 / $1,464.56	Professional		$629.38	$939.27	$1,464.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $558.41 / $877.43 / $1,693.81	Professional		$558.41	$877.43	$1,693.81
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 $574.21 / $766.76 / $1,441.14	Professional		$574.21	$766.76	$1,441.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $377.13 / $421.54 / $527.98	Professional		$377.13	$421.54	$527.98