Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $494.48 / $9,859.00	Facility		$100.00	$494.48	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.80 / $435.18 / $642.19	Professional		$380.80	$435.18	$642.19
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 $416.30 / $713.87 / $1,064.08	Professional		$416.30	$713.87	$1,064.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.75 / $5,257.46 / $5,441.47	Facility		$478.75	$5,257.46	$5,441.47
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.04 / $747.59 / $1,239.19	Professional		$559.04	$747.59	$1,239.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $476.58 / $781.88 / $1,470.96	Professional		$476.58	$781.88	$1,470.96
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 $484.30 / $633.78 / $1,262.82	Professional		$484.30	$633.78	$1,262.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $330.53 / $396.64 / $626.02	Professional		$330.53	$396.64	$626.02