Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,468.69 / $8,965.00	Facility		$100.00	$2,468.69	$8,965.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,851.52 / $1,851.52 / $1,851.52	Facility	54	$1,851.52	$1,851.52	$1,851.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.08 / $735.69 / $1,988.63	Professional		$599.08	$735.69	$1,988.63
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $104.89 / $110.35 / $298.29	Professional	55	$104.89	$110.35	$298.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $786.02 / $1,236.40 / $2,132.40	Professional		$786.02	$1,236.40	$2,132.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.80 / $1,432.71 / $1,933.80	Professional		$1,013.80	$1,432.71	$1,933.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $989.81 / $1,616.42 / $3,201.51	Professional		$989.81	$1,616.42	$3,201.51
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 $915.65 / $1,112.69 / $2,303.32	Professional		$915.65	$1,112.69	$2,303.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $610.88 / $722.95 / $1,172.31	Professional		$610.88	$722.95	$1,172.31