Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,008.05 / $2,331.21	Facility		$100.00	$1,008.05	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $407.59 / $756.04 / $834.64	Facility	54	$407.59	$756.04	$834.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.37 / $316.70 / $474.91	Professional		$284.37	$316.70	$474.91
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 $319.19 / $492.79 / $688.18	Professional		$319.19	$492.79	$688.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.14 / $1,306.21 / $1,351.93	Facility		$533.14	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.20 / $373.20 / $373.20	Facility	54	$373.20	$373.20	$373.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.43 / $628.63 / $972.75	Professional		$420.43	$628.63	$972.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $378.70 / $595.75 / $1,113.21	Professional		$378.70	$595.75	$1,113.21
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 $401.46 / $568.65 / $1,000.21	Professional		$401.46	$568.65	$1,000.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $243.18 / $293.93 / $400.02	Professional		$243.18	$293.93	$400.02