Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,786.56 / $6,122.97 / $17,416.00	Facility		$2,786.56	$6,122.97	$17,416.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,741.60 / $2,015.28 / $2,015.28	Professional		$1,741.60	$2,015.28	$2,015.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,092.76 / $4,548.06 / $9,703.20	Facility		$4,092.76	$4,548.06	$9,703.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.20 / $1,617.20 / $1,910.78	Professional		$995.20	$1,617.20	$1,910.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,492.58 / $9,095.06 / $10,914.48	Facility		$4,492.58	$9,095.06	$10,914.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $2,859.20 / $3,574.00	Professional		$2,859.20	$2,859.20	$3,574.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,376.71 / $4,421.67 / $8,852.06	Professional		$3,376.71	$4,421.67	$8,852.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,492.80 / $1,492.80	Professional		$1,044.96	$1,492.80	$1,492.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00