Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,578.92 / $8,965.00	Facility		$100.00	$1,578.92	$8,965.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $604.20 / $1,184.19 / $1,184.19	Facility	54	$604.20	$1,184.19	$1,184.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.45 / $518.42 / $719.23	Professional		$427.45	$518.42	$719.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.35 / $781.95 / $1,199.69	Professional		$469.35	$781.95	$1,199.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.75 / $1,306.21 / $1,351.93	Facility		$539.75	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.54 / $375.54 / $375.54	Facility	54	$375.54	$375.54	$375.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.91 / $853.68 / $1,403.13	Professional		$584.91	$853.68	$1,403.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $537.30 / $881.51 / $1,658.41	Professional		$537.30	$881.51	$1,658.41
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 $550.11 / $787.33 / $1,289.33	Professional		$550.11	$787.33	$1,289.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $368.59 / $405.45 / $516.03	Professional		$368.59	$405.45	$516.03