Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.88 / $762.01 / $1,749.77	Facility		$499.88	$762.01	$1,749.77
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $571.51 / $1,143.38 / $1,255.22	Facility	54	$571.51	$1,143.38	$1,255.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.27 / $499.88 / $875.76	Professional		$401.27	$499.88	$875.76
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 $448.48 / $708.35 / $989.21	Professional		$448.48	$708.35	$989.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.30 / $1,306.21 / $1,351.93	Facility		$761.30	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $532.91 / $532.91 / $532.91	Facility	54	$532.91	$532.91	$532.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.12 / $910.67 / $1,405.70	Professional		$605.12	$910.67	$1,405.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $540.87 / $867.10 / $1,676.01	Professional		$540.87	$867.10	$1,676.01
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 $586.32 / $747.03 / $1,466.36	Professional		$586.32	$747.03	$1,466.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $344.57 / $444.58 / $606.04	Professional		$344.57	$444.58	$606.04