Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,388.31 / $8,707.81	Facility		$100.00	$1,388.31	$8,707.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.67 / $692.54 / $1,085.08	Professional		$468.67	$692.54	$1,085.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.04 / $832.61 / $1,216.18	Professional		$504.04	$832.61	$1,216.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.11 / $2,000.36 / $2,070.38	Facility		$865.11	$2,000.36	$2,070.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.51 / $86.51 / $86.51	Facility	AS	$86.51	$86.51	$86.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.25 / $1,207.30 / $2,331.96	Professional		$716.25	$1,207.30	$2,331.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $624.52 / $1,168.53 / $2,279.41	Professional		$624.52	$1,168.53	$2,279.41
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $877.34 / $1,305.96 / $2,462.48	Professional		$877.34	$1,305.96	$2,462.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $392.76 / $549.86 / $818.08	Professional		$392.76	$549.86	$818.08