Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $11,822.23	Facility		$100.00	$2,331.21	$11,822.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $551.49 / $875.23	Professional		$426.58	$551.49	$875.23
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 $464.82 / $797.07 / $1,188.10	Professional		$464.82	$797.07	$1,188.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.01 / $5,257.46 / $5,441.47	Facility		$535.01	$5,257.46	$5,441.47
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.09 / $53.09 / $53.09	Facility	AS	$53.09	$53.09	$53.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.15 / $834.20 / $1,384.25	Professional		$621.15	$834.20	$1,384.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $532.12 / $873.00 / $1,642.39	Professional		$532.12	$873.00	$1,642.39
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 $540.46 / $747.71 / $1,336.07	Professional		$540.46	$747.71	$1,336.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $370.78 / $444.94 / $654.05	Professional		$370.78	$444.94	$654.05