Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,503.59 / $9,859.00	Facility		$100.00	$2,503.59	$9,859.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,877.69 / $1,877.69 / $1,877.69	Facility	54	$1,877.69	$1,877.69	$1,877.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.03 / $758.80 / $2,012.16	Professional		$616.03	$758.80	$2,012.16
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 $793.78 / $1,248.61 / $2,153.48	Professional		$793.78	$1,248.61	$2,153.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.35 / $1,446.49 / $1,957.48	Professional		$1,025.35	$1,446.49	$1,957.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $999.59 / $1,632.38 / $3,233.13	Professional		$999.59	$1,632.38	$3,233.13
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 $941.48 / $1,126.89 / $2,339.21	Professional		$941.48	$1,126.89	$2,339.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $626.83 / $732.14 / $1,105.73	Professional		$626.83	$732.14	$1,105.73