Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $939.02 / $2,331.21	Facility		$100.00	$939.02	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $388.91 / $704.27 / $783.99	Facility	54	$388.91	$704.27	$783.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.92 / $321.43 / $426.39	Professional		$270.92	$321.43	$426.39
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 $301.70 / $479.92 / $648.96	Professional		$301.70	$479.92	$648.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.18 / $1,306.21 / $1,351.93	Facility		$509.18	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $356.43 / $356.43 / $356.43	Facility	54	$356.43	$356.43	$356.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.56 / $622.44 / $952.41	Professional		$411.56	$622.44	$952.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $366.76 / $587.99 / $1,098.20	Professional		$366.76	$587.99	$1,098.20
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 $357.75 / $519.24 / $985.26	Professional		$357.75	$519.24	$985.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $230.57 / $287.33 / $391.83	Professional		$230.57	$287.33	$391.83