Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,656.65 / $2,331.21	Facility		$100.00	$1,656.65	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $616.88 / $1,242.49 / $1,337.70	Facility	54	$616.88	$1,242.49	$1,337.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.74 / $508.84 / $679.32	Professional		$444.74	$508.84	$679.32
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 $483.83 / $753.01 / $1,051.57	Professional		$483.83	$753.01	$1,051.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.44 / $1,306.21 / $1,351.93	Facility		$823.44	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $576.41 / $576.41 / $576.41	Facility	54	$576.41	$576.41	$576.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.16 / $970.14 / $1,501.26	Professional		$653.16	$970.14	$1,501.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $577.01 / $908.67 / $1,696.12	Professional		$577.01	$908.67	$1,696.12
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 $599.94 / $769.50 / $1,446.60	Professional		$599.94	$769.50	$1,446.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $380.36 / $444.26 / $532.50	Professional		$380.36	$444.26	$532.50