Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $649.82 / $2,331.21	Facility		$100.00	$649.82	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.44 / $487.37 / $544.96	Facility	54	$251.44	$487.37	$544.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.06 / $214.10 / $294.74	Professional		$183.06	$214.10	$294.74
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 $197.97 / $306.35 / $427.81	Professional		$197.97	$306.35	$427.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.64 / $328.64 / $328.64	Facility		$328.64	$328.64	$328.64
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.05 / $230.05 / $230.05	Facility	54	$230.05	$230.05	$230.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.57 / $396.50 / $610.91	Professional		$268.57	$396.50	$610.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $233.29 / $371.78 / $731.88	Professional		$233.29	$371.78	$731.88
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 $247.50 / $359.36 / $639.27	Professional		$247.50	$359.36	$639.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $189.87 / $254.52	Professional		$151.19	$189.87	$254.52