Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $398.69 / $2,331.21	Facility		$100.00	$398.69	$2,331.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $159.57 / $299.02 / $304.54	Facility	54	$159.57	$299.02	$304.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $125.48 / $186.88	Professional		$112.37	$125.48	$186.88
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $87.37 / $100.74 / $137.85	Professional	54	$87.37	$100.74	$137.85
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 $122.92 / $203.86 / $299.12	Professional		$122.92	$203.86	$299.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.36 / $141.36 / $141.36	Facility		$141.36	$141.36	$141.36
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $94.65 / $94.65 / $94.65	Facility	54	$94.65	$94.65	$94.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $258.38 / $380.58	Professional		$154.22	$258.38	$380.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $230.85 / $434.30	Professional		$140.71	$230.85	$434.30
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 $140.09 / $186.25 / $336.66	Professional		$140.09	$186.25	$336.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $113.42 / $153.55	Professional		$94.69	$113.42	$153.55