Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,492.59 / $2,331.21	Facility		$100.00	$1,492.59	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $556.26 / $1,119.44 / $1,217.99	Facility	54	$556.26	$1,119.44	$1,217.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.14 / $474.90 / $656.44	Professional		$394.14	$474.90	$656.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.36 / $685.04 / $956.65	Professional		$436.36	$685.04	$956.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.59 / $1,306.21 / $1,351.93	Facility		$738.59	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $517.01 / $517.01 / $517.01	Facility	54	$517.01	$517.01	$517.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.59 / $877.47 / $1,356.24	Professional		$589.59	$877.47	$1,356.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $520.55 / $834.54 / $1,629.66	Professional		$520.55	$834.54	$1,629.66
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.62 / $720.22 / $1,301.82	Professional		$565.62	$720.22	$1,301.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $335.89 / $428.94 / $606.04	Professional		$335.89	$428.94	$606.04