Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,055.75 / $9,859.00	Facility		$100.00	$3,055.75	$9,859.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $2,291.81 / $2,291.81 / $2,291.81	Facility	54	$2,291.81	$2,291.81	$2,291.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.41 / $907.73 / $2,181.19	Professional		$738.41	$907.73	$2,181.19
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $127.00 / $136.16 / $327.18	Professional	55	$127.00	$136.16	$327.18
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 $864.30 / $1,359.53 / $2,344.77	Professional		$864.30	$1,359.53	$2,344.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.33 / $1,571.26 / $2,091.82	Professional		$1,101.33	$1,571.26	$2,091.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,088.38 / $1,777.39 / $3,520.33	Professional		$1,088.38	$1,777.39	$3,520.33
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 $1,048.03 / $1,269.61 / $2,649.67	Professional		$1,048.03	$1,269.61	$2,649.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $708.98 / $848.35 / $1,250.64	Professional		$708.98	$848.35	$1,250.64