Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $698.01 / $2,331.21	Facility		$100.00	$698.01	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $277.17 / $523.51 / $588.80	Facility	54	$277.17	$523.51	$588.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.80 / $231.21 / $306.80	Professional		$199.80	$231.21	$306.80
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 $217.17 / $343.25 / $475.15	Professional		$217.17	$343.25	$475.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.57 / $362.57 / $362.57	Facility		$362.57	$362.57	$362.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $253.80 / $253.80 / $253.80	Facility	54	$253.80	$253.80	$253.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.48 / $449.14 / $688.92	Professional		$293.48	$449.14	$688.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $261.93 / $422.33 / $788.79	Professional		$261.93	$422.33	$788.79
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 $290.19 / $405.60 / $817.89	Professional		$290.19	$405.60	$817.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $166.53 / $210.66 / $287.27	Professional		$166.53	$210.66	$287.27