Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,334.60 / $2,331.21	Facility		$100.00	$1,334.60	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $501.94 / $1,000.95 / $1,087.32	Facility	54	$501.94	$1,000.95	$1,087.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.44 / $428.41 / $657.15	Professional		$358.44	$428.41	$657.15
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 $393.93 / $615.86 / $860.04	Professional		$393.93	$615.86	$860.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.33 / $1,306.21 / $1,351.93	Facility		$664.33	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $465.03 / $465.03 / $465.03	Facility	54	$465.03	$465.03	$465.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.46 / $789.10 / $1,224.83	Professional		$531.46	$789.10	$1,224.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $468.13 / $747.09 / $1,385.61	Professional		$468.13	$747.09	$1,385.61
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 $514.39 / $728.33 / $1,281.69	Professional		$514.39	$728.33	$1,281.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $372.43 / $507.86	Professional		$304.20	$372.43	$507.86