Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,584.00 / $7,875.20 / $22,400.00	Facility		$3,584.00	$7,875.20	$22,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,240.00 / $2,240.00 / $2,592.00	Professional		$2,240.00	$2,240.00	$2,592.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.00 / $5,849.60 / $12,480.00	Facility		$5,264.00	$5,849.60	$12,480.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $2,080.00 / $2,080.00	Professional		$7.49	$2,080.00	$2,080.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,778.24 / $11,698.61 / $14,037.92	Facility		$5,778.24	$11,698.61	$14,037.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $4,343.04 / $9,876.79	Professional		$3,200.00	$4,343.04	$9,876.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,920.00 / $3,200.00	Professional		$1,344.00	$1,920.00	$3,200.00
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