Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,353.60 / $11,763.60 / $33,460.00	Facility		$5,353.60	$11,763.60	$33,460.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,346.00 / $3,346.00 / $3,871.80	Professional		$3,346.00	$3,346.00	$3,871.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,863.10 / $9,253.12 / $23,801.05	Facility		$7,863.10	$9,253.12	$23,801.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,107.00 / $3,107.00 / $3,824.00	Professional		$3,107.00	$3,107.00	$3,824.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,631.25 / $17,474.30 / $20,969.14	Facility		$8,631.25	$17,474.30	$20,969.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $6,937.69 / $15,745.80	Professional		$4,780.00	$6,937.69	$15,745.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $2,868.00	Professional		$2,007.60	$2,868.00	$2,868.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $3,926.15 / $4,996.92	Professional		$2,500.00	$3,926.15	$4,996.92