Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $11,481.54	Facility		$2,398.83	$3,981.07	$11,481.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $3,019.95	Facility		$1,584.89	$1,737.80	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,479.11	Facility		$1,202.26	$1,202.26	$1,479.11