Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,155.42 / $9,859.00	Facility		$100.00	$2,155.42	$9,859.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,174.73 / $1,174.73 / $1,616.57	Facility	54	$1,174.73	$1,174.73	$1,616.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.99 / $531.47 / $1,147.74	Professional		$446.99	$531.47	$1,147.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.91 / $718.35 / $1,027.83	Professional		$461.91	$718.35	$1,027.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.44 / $1,001.02 / $1,581.78	Professional		$609.44	$1,001.02	$1,581.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $636.24 / $1,108.03 / $2,244.04	Professional		$636.24	$1,108.03	$2,244.04
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $818.17 / $1,033.92 / $1,959.69	Professional		$818.17	$1,033.92	$1,959.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $394.39 / $542.54 / $740.36	Professional		$394.39	$542.54	$740.36