Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,194.17 / $8,965.00	Facility		$100.00	$1,194.17	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.62 / $365.13 / $469.76	Professional		$332.62	$365.13	$469.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $556.19 / $853.33	Professional		$321.52	$556.19	$853.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $1,306.21 / $1,351.93	Facility		$369.75	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $36.69 / $36.69 / $36.69	Facility	AS	$36.69	$36.69	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.61 / $578.41 / $884.02	Professional		$412.61	$578.41	$884.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $368.08 / $603.87 / $1,136.08	Professional		$368.08	$603.87	$1,136.08
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $469.79 / $932.56	Professional		$368.06	$469.79	$932.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $254.48 / $305.38 / $481.99	Professional		$254.48	$305.38	$481.99