Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,698.38 / $2,331.21	Facility		$100.00	$1,698.38	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $644.00 / $1,273.79 / $1,351.29	Facility	54	$644.00	$1,273.79	$1,351.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.40 / $537.37 / $684.29	Professional		$458.40	$537.37	$684.29
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 $505.05 / $772.43 / $1,083.02	Professional		$505.05	$772.43	$1,083.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.54 / $1,306.21 / $1,351.93	Facility		$855.54	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $598.88 / $598.88 / $598.88	Facility	54	$598.88	$598.88	$598.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.35 / $1,006.90 / $1,541.82	Professional		$659.35	$1,006.90	$1,541.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $598.46 / $942.34 / $1,768.10	Professional		$598.46	$942.34	$1,768.10
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 $601.30 / $805.59 / $1,581.32	Professional		$601.30	$805.59	$1,581.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $393.88 / $458.45 / $551.42	Professional		$393.88	$458.45	$551.42