Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $711.04 / $9,859.00	Facility		$100.00	$711.04	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.23 / $471.77 / $785.40	Professional		$382.23	$471.77	$785.40
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 $416.62 / $714.42 / $1,064.92	Professional		$416.62	$714.42	$1,064.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.11 / $5,257.46 / $5,441.47	Facility		$479.11	$5,257.46	$5,441.47
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.57 / $47.57 / $47.57	Facility	AS	$47.57	$47.57	$47.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.53 / $748.20 / $1,241.21	Professional		$559.53	$748.20	$1,241.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $476.95 / $782.48 / $1,472.11	Professional		$476.95	$782.48	$1,472.11
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 $500.80 / $718.95 / $1,436.33	Professional		$500.80	$718.95	$1,436.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $331.69 / $398.03 / $585.10	Professional		$331.69	$398.03	$585.10