Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,116.00 / $9,044.17 / $25,725.00	Facility		$4,116.00	$9,044.17	$25,725.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,572.50 / $2,572.50 / $2,976.75	Professional		$2,572.50	$2,572.50	$2,976.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,045.38 / $6,717.90 / $14,332.50	Facility		$6,045.38	$6,717.90	$14,332.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,388.75 / $2,388.75	Professional		$1,470.00	$2,388.75	$2,388.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,635.95 / $13,434.31 / $16,121.67	Facility		$6,635.95	$13,434.31	$16,121.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $5,333.90 / $12,105.82	Professional		$3,675.00	$5,333.90	$12,105.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $2,205.00 / $2,205.00	Professional		$1,543.50	$2,205.00	$2,205.00
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