Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,481.79 / $8,965.00	Facility		$100.00	$1,481.79	$8,965.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,008.37 / $1,008.37 / $1,111.33	Facility	54	$1,008.37	$1,008.37	$1,111.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.81 / $301.45 / $568.79	Professional		$236.81	$301.45	$568.79
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $177.61 / $226.10 / $537.79	Professional	54	$177.61	$226.10	$537.79
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $35.52 / $45.22 / $107.56	Professional	55	$35.52	$45.22	$107.56
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 $226.10 / $346.98 / $552.04	Professional		$226.10	$346.98	$552.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $339.15 / $520.47 / $754.68	Professional	50	$339.15	$520.47	$754.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.80 / $466.14 / $711.03	Professional		$309.80	$466.14	$711.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $311.44 / $512.61 / $999.99	Professional		$311.44	$512.61	$999.99
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 $408.51 / $518.50 / $884.83	Professional		$408.51	$518.50	$884.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $185.21 / $277.60 / $428.04	Professional		$185.21	$277.60	$428.04