Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,685.14 / $9,859.00	Facility		$100.00	$1,685.14	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.44 / $584.25 / $695.81	Professional		$451.44	$584.25	$695.81
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 $501.69 / $863.95 / $1,331.51	Professional		$501.69	$863.95	$1,331.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.94 / $1,751.69 / $1,812.99	Facility		$576.94	$1,751.69	$1,812.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.68 / $57.68 / $57.68	Facility	AS	$57.68	$57.68	$57.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.92 / $887.04 / $1,387.16	Professional		$629.92	$887.04	$1,387.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $574.34 / $942.26 / $1,772.70	Professional		$574.34	$942.26	$1,772.70
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 $592.45 / $800.28 / $3,586.34	Professional		$592.45	$800.28	$3,586.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $399.57 / $479.48 / $704.84	Professional		$399.57	$479.48	$704.84