Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $668.41 / $8,965.00	Facility		$100.00	$668.41	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.81 / $421.62 / $494.30	Professional		$316.81	$421.62	$494.30
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 $368.75 / $637.88 / $978.66	Professional		$368.75	$637.88	$978.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.06 / $1,306.21 / $1,351.93	Facility		$424.06	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $263.31 / $263.31 / $263.31	Facility	62	$263.31	$263.31	$263.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.21 / $659.18 / $1,042.70	Professional		$458.21	$659.18	$1,042.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $422.14 / $692.56 / $1,302.94	Professional		$422.14	$692.56	$1,302.94
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 $411.45 / $532.17 / $1,042.59	Professional		$411.45	$532.17	$1,042.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $284.31 / $341.17 / $538.48	Professional		$284.31	$341.17	$538.48