Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $965.46 / $2,331.21	Facility		$100.00	$965.46	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $398.77 / $724.09 / $801.60	Facility	54	$398.77	$724.09	$801.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.85 / $309.30 / $462.89	Professional		$273.85	$309.30	$462.89
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 $311.12 / $481.86 / $667.87	Professional		$311.12	$481.86	$667.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.98 / $1,306.21 / $1,351.93	Facility		$520.98	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $364.69 / $364.69 / $364.69	Facility	54	$364.69	$364.69	$364.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.05 / $619.16 / $952.31	Professional		$407.05	$619.16	$952.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $370.54 / $587.58 / $1,089.23	Professional		$370.54	$587.58	$1,089.23
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 $382.15 / $478.87 / $1,103.58	Professional		$382.15	$478.87	$1,103.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $235.78 / $284.99 / $387.09	Professional		$235.78	$284.99	$387.09