Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,876.06 / $8,127.84	Facility		$100.00	$1,876.06	$8,127.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $856.23 / $1,479.24	Professional		$627.36	$856.23	$1,479.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,334.70 / $11,483.00 / $21,862.00	Facility		$10,334.70	$11,483.00	$21,862.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $992.92 / $1,543.38	Professional		$592.91	$992.92	$1,543.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.68 / $2,862.32 / $2,962.50	Facility		$1,018.68	$2,862.32	$2,962.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $101.87 / $101.87 / $101.87	Facility	AS	$101.87	$101.87	$101.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.00 / $1,462.47 / $2,824.48	Professional		$839.00	$1,462.47	$2,824.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $734.47 / $1,382.35 / $2,769.50	Professional		$734.47	$1,382.35	$2,769.50
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 $1,014.34 / $1,509.52 / $2,825.98	Professional		$1,014.34	$1,509.52	$2,825.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $505.77 / $785.61 / $1,184.56	Professional		$505.77	$785.61	$1,184.56