Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $990.00 / $2,331.21	Facility		$100.00	$990.00	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $404.86 / $742.50 / $828.88	Facility	54	$404.86	$742.50	$828.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.80 / $338.81 / $471.74	Professional		$283.80	$338.81	$471.74
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 $317.17 / $492.79 / $681.13	Professional		$317.17	$492.79	$681.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.16 / $1,306.21 / $1,351.93	Facility		$528.16	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $369.72 / $369.72 / $369.72	Facility	54	$369.72	$369.72	$369.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.07 / $632.77 / $968.21	Professional		$418.07	$632.77	$968.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $375.98 / $596.98 / $1,105.21	Professional		$375.98	$596.98	$1,105.21
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 $405.22 / $548.89 / $1,007.91	Professional		$405.22	$548.89	$1,007.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $294.14 / $401.12	Professional		$240.45	$294.14	$401.12