Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $402.93 / $2,331.21	Facility		$100.00	$402.93	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $302.20 / $577.16 / $629.21	Facility	54	$302.20	$577.16	$629.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.63 / $245.68 / $352.16	Professional		$213.63	$245.68	$352.16
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 $237.37 / $363.40 / $507.57	Professional		$237.37	$363.40	$507.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.02 / $1,306.21 / $1,351.93	Facility		$394.02	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.81 / $275.81 / $275.81	Facility	54	$275.81	$275.81	$275.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.55 / $468.92 / $724.11	Professional		$315.55	$468.92	$724.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $444.30 / $824.06	Professional		$280.33	$444.30	$824.06
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 $289.05 / $406.64 / $1,599.80	Professional		$289.05	$406.64	$1,599.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $181.19 / $219.00 / $297.23	Professional		$181.19	$219.00	$297.23