Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,356.10 / $9,859.00	Facility		$100.00	$1,356.10	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.58 / $830.66 / $1,356.10	Professional		$669.58	$830.66	$1,356.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.86 / $1,244.70 / $1,855.35	Professional		$725.86	$1,244.70	$1,855.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.30 / $5,257.46 / $5,441.47	Facility		$839.30	$5,257.46	$5,441.47
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.25 / $1,308.54 / $2,171.36	Professional		$967.25	$1,308.54	$2,171.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $830.95 / $1,363.26 / $2,564.73	Professional		$830.95	$1,363.26	$2,564.73
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 $845.25 / $1,172.88 / $2,085.15	Professional		$845.25	$1,172.88	$2,085.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $581.11 / $697.33 / $1,025.08	Professional		$581.11	$697.33	$1,025.08