Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $697.20 / $2,331.21	Facility		$100.00	$697.20	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $377.87 / $710.38 / $791.23	Facility	54	$377.87	$710.38	$791.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $321.30 / $562.22	Professional		$269.52	$321.30	$562.22
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 $296.95 / $458.80 / $640.71	Professional		$296.95	$458.80	$640.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.57 / $1,306.21 / $1,351.93	Facility		$494.57	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.20 / $346.20 / $346.20	Facility	54	$346.20	$346.20	$346.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.62 / $589.66 / $906.82	Professional		$393.62	$589.66	$906.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $351.10 / $556.74 / $1,035.29	Professional		$351.10	$556.74	$1,035.29
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 $377.19 / $499.68 / $948.14	Professional		$377.19	$499.68	$948.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $227.61 / $276.42 / $376.94	Professional		$227.61	$276.42	$376.94