Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,316.51 / $6,275.37	Facility		$100.00	$1,316.51	$6,275.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.72 / $535.69 / $689.29	Professional		$339.72	$535.69	$689.29
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 $347.47 / $572.30 / $817.17	Professional		$347.47	$572.30	$817.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.71 / $1,751.69 / $1,812.99	Facility		$591.71	$1,751.69	$1,812.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.38 / $769.21 / $1,489.34	Professional		$500.38	$769.21	$1,489.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $429.28 / $780.50 / $1,427.98	Professional		$429.28	$780.50	$1,427.98
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 $612.97 / $859.97 / $1,640.58	Professional		$612.97	$859.97	$1,640.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $280.91 / $393.27 / $520.38	Professional		$280.91	$393.27	$520.38