Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,282.19 / $7,530.40	Facility		$100.00	$1,282.19	$7,530.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.67 / $479.18 / $678.19	Professional		$348.67	$479.18	$678.19
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 $383.83 / $628.62 / $843.18	Professional		$383.83	$628.62	$843.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.41 / $2,000.36 / $2,070.38	Facility		$647.41	$2,000.36	$2,070.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	AS	$64.73	$64.73	$64.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.74 / $808.95 / $1,491.21	Professional		$498.74	$808.95	$1,491.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $472.94 / $840.95 / $1,541.46	Professional		$472.94	$840.95	$1,541.46
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 $544.28 / $815.57 / $1,814.73	Professional		$544.28	$815.57	$1,814.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $313.10 / $428.62 / $606.04	Professional		$313.10	$428.62	$606.04