Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,008.40 / $2,331.21	Facility		$100.00	$1,008.40	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $402.91 / $756.30 / $786.21	Facility	54	$402.91	$756.30	$786.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.93 / $319.58 / $493.15	Professional		$284.93	$319.58	$493.15
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 $316.16 / $475.55 / $666.76	Professional		$316.16	$475.55	$666.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.76 / $1,306.21 / $1,351.93	Facility		$528.76	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.13 / $370.13 / $370.13	Facility	54	$370.13	$370.13	$370.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.61 / $620.47 / $960.53	Professional		$417.61	$620.47	$960.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $368.45 / $579.65 / $1,101.79	Professional		$368.45	$579.65	$1,101.79
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 $374.97 / $504.47 / $881.45	Professional		$374.97	$504.47	$881.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $241.03 / $291.19 / $390.84	Professional		$241.03	$291.19	$390.84