Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $581.28 / $8,965.00	Facility		$100.00	$581.28	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $467.74 / $646.98	Professional		$324.70	$467.74	$646.98
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 $333.33 / $551.29 / $790.86	Professional		$333.33	$551.29	$790.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $1,751.69 / $1,812.99	Facility		$574.91	$1,751.69	$1,812.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.48 / $754.04 / $1,344.55	Professional		$485.48	$754.04	$1,344.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $413.52 / $735.77 / $1,347.80	Professional		$413.52	$735.77	$1,347.80
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 $551.16 / $765.89 / $1,503.39	Professional		$551.16	$765.89	$1,503.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $299.08 / $435.96 / $597.41	Professional		$299.08	$435.96	$597.41