Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,001.67 / $2,341.64	Facility		$100.00	$1,001.67	$2,341.64
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $751.25 / $751.25 / $797.76	Facility	54	$751.25	$751.25	$797.76
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $150.25 / $150.25 / $159.55	Facility	55	$150.25	$150.25	$159.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.56 / $315.56 / $743.67	Professional		$267.56	$315.56	$743.67
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $220.85 / $236.67 / $598.88	Professional	54	$220.85	$236.67	$598.88
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $44.17 / $47.33 / $119.78	Professional	55	$44.17	$47.33	$119.78
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 $298.88 / $458.67 / $665.07	Professional		$298.88	$458.67	$665.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $448.32 / $688.00 / $997.60	Professional	50	$448.32	$688.00	$997.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.44 / $564.23 / $784.25	Professional		$395.44	$564.23	$784.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $378.47 / $614.64 / $1,130.36	Professional		$378.47	$614.64	$1,130.36
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 $362.78 / $504.25 / $976.39	Professional		$362.78	$504.25	$976.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $244.01 / $294.94 / $395.68	Professional		$244.01	$294.94	$395.68