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 / $14,061.77	Facility		$100.00	$2,331.21	$14,061.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.35 / $406.12 / $570.54	Professional		$298.35	$406.12	$570.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36,317.69 / $40,353.00 / $63,632.00	Facility		$36,317.69	$40,353.00	$63,632.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.52 / $575.21 / $882.50	Professional		$332.52	$575.21	$882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.23 / $1,751.69 / $1,812.99	Facility		$387.23	$1,751.69	$1,812.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.33 / $38.33 / $38.33	Facility	AS	$38.33	$38.33	$38.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.76 / $719.73 / $987.86	Professional		$439.76	$719.73	$987.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $380.67 / $624.53 / $1,174.94	Professional		$380.67	$624.53	$1,174.94
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.25 / $633.19 / $973.27	Professional		$390.25	$633.19	$973.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $283.17 / $339.80 / $536.32	Professional		$283.17	$339.80	$536.32