Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $745.97 / $9,859.00	Facility		$100.00	$745.97	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.87 / $456.60 / $686.44	Professional		$369.87	$456.60	$686.44
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 $402.07 / $689.47 / $1,027.72	Professional		$402.07	$689.47	$1,027.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.38 / $5,257.46 / $5,441.47	Facility		$462.38	$5,257.46	$5,441.47
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $45.93 / $45.93 / $45.93	Facility	AS	$45.93	$45.93	$45.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.38 / $722.99 / $1,199.05	Professional		$540.38	$722.99	$1,199.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $460.28 / $755.14 / $1,420.65	Professional		$460.28	$755.14	$1,420.65
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 $468.57 / $614.32 / $1,126.60	Professional		$468.57	$614.32	$1,126.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $320.33 / $384.41 / $606.72	Professional		$320.33	$384.41	$606.72