Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $14,929.00	Facility		$100.00	$2,331.21	$14,929.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.01 / $498.84 / $4,014.94	Professional		$205.01	$498.84	$4,014.94
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 $307.48 / $548.98 / $5,329.79	Professional		$307.48	$548.98	$5,329.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $461.22 / $823.47 / $7,994.69	Professional	50	$461.22	$823.47	$7,994.69
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $43.04 / $76.84 / $746.17	Professional	AS	$43.04	$76.84	$746.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.28 / $1,069.31 / $8,853.73	Professional		$354.28	$1,069.31	$8,853.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $322.35 / $3,270.86 / $10,095.51	Professional		$322.35	$3,270.86	$10,095.51
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 $4,981.29 / $6,349.48 / $12,362.83	Professional		$4,981.29	$6,349.48	$12,362.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $278.45 / $3,534.80	Professional		$198.90	$278.45	$3,534.80