Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $985.99 / $6,067.00	Facility		$100.00	$985.99	$6,067.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $739.49 / $788.79 / $899.80	Facility	54	$739.49	$788.79	$899.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.54 / $300.89 / $498.53	Professional		$277.54	$300.89	$498.53
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $209.09 / $241.97 / $445.71	Professional	54	$209.09	$241.97	$445.71
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $41.82 / $48.39 / $89.14	Professional	55	$41.82	$48.39	$89.14
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 $196.99 / $302.31 / $438.34	Professional		$196.99	$302.31	$438.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $295.48 / $455.91 / $657.52	Professional	50	$295.48	$455.91	$657.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.16 / $380.94 / $614.16	Professional		$269.16	$380.94	$614.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $430.70 / $825.21	Professional		$269.20	$430.70	$825.21
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.18 / $429.68 / $725.99	Professional		$335.18	$429.68	$725.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $226.81 / $318.88	Professional		$161.72	$226.81	$318.88