Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $900.65 / $2,331.21	Facility		$100.00	$900.65	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $378.02 / $675.48 / $747.47	Facility	54	$378.02	$675.48	$747.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.13 / $311.12 / $399.18	Professional		$262.13	$311.12	$399.18
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 $292.08 / $457.35 / $629.95	Professional		$292.08	$457.35	$629.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.23 / $1,306.21 / $1,351.93	Facility		$493.23	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.26 / $345.26 / $345.26	Facility	54	$345.26	$345.26	$345.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.11 / $586.03 / $902.31	Professional		$386.11	$586.03	$902.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $351.10 / $556.74 / $1,032.06	Professional		$351.10	$556.74	$1,032.06
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 $358.36 / $504.57 / $853.19	Professional		$358.36	$504.57	$853.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $223.23 / $270.29 / $368.58	Professional		$223.23	$270.29	$368.58