Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,511.89 / $9,772.37	Facility		$812.83	$2,511.89	$9,772.37
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,258.93 / $1,258.93 / $2,290.87	Facility	22	$1,258.93	$1,258.93	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,248.07 / $11,481.54	Facility		$3,467.37	$5,248.07	$11,481.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $831.76	Facility		$524.81	$524.81	$831.76