Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,152.33 / $9,859.00	Facility		$100.00	$1,152.33	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.19 / $704.02 / $1,095.36	Professional		$510.19	$704.02	$1,095.36
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 $461.61 / $760.93 / $1,177.01	Professional		$461.61	$760.93	$1,177.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.27 / $2,000.36 / $2,070.38	Facility		$789.27	$2,000.36	$2,070.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $78.93	Facility	AS	$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.52 / $1,019.88 / $1,936.90	Professional		$643.52	$1,019.88	$1,936.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $570.75 / $1,037.25 / $1,894.16	Professional		$570.75	$1,037.25	$1,894.16
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 $801.34 / $1,097.68 / $1,997.68	Professional		$801.34	$1,097.68	$1,997.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $398.97 / $616.49 / $864.47	Professional		$398.97	$616.49	$864.47