Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $652.39 / $2,331.21	Facility		$100.00	$652.39	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $269.79 / $489.29 / $543.54	Facility	54	$269.79	$489.29	$543.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.37 / $218.42 / $401.89	Professional		$188.37	$218.42	$401.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $146.56 / $163.82 / $208.63	Professional	54	$146.56	$163.82	$208.63
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 $207.99 / $321.39 / $448.57	Professional		$207.99	$321.39	$448.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.09 / $351.09 / $351.09	Facility		$351.09	$351.09	$351.09
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.76 / $245.76 / $245.76	Facility	54	$245.76	$245.76	$245.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $417.22 / $646.66	Professional		$277.58	$417.22	$646.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $248.74 / $392.51 / $737.91	Professional		$248.74	$392.51	$737.91
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 $252.50 / $355.11 / $659.48	Professional		$252.50	$355.11	$659.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $160.28 / $195.86 / $262.77	Professional		$160.28	$195.86	$262.77