Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $410.47 / $2,331.21	Facility		$100.00	$410.47	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $165.05 / $307.85 / $352.15	Facility	54	$165.05	$307.85	$352.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $141.71 / $231.85	Professional		$120.97	$141.71	$231.85
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 $127.12 / $203.67 / $283.22	Professional		$127.12	$203.67	$283.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.05 / $214.05 / $214.05	Facility		$214.05	$214.05	$214.05
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $149.84 / $149.84 / $149.84	Facility	54	$149.84	$149.84	$149.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.76 / $267.88 / $406.52	Professional		$174.76	$267.88	$406.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $250.47 / $479.39	Professional		$155.50	$250.47	$479.39
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 $167.97 / $218.12 / $429.64	Professional		$167.97	$218.12	$429.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $129.11 / $171.56	Professional		$99.02	$129.11	$171.56