Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.30 / $1,103.45 / $4,060.93	Professional		$804.30	$1,103.45	$4,060.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,604.39 / $1,604.39 / $1,738.52	Professional		$1,604.39	$1,604.39	$1,738.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,181.37 / $5,181.37 / $5,181.37	Facility		$5,181.37	$5,181.37	$5,181.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,336.18 / $6,491.57 / $9,334.94	Professional		$4,336.18	$6,491.57	$9,334.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,794.27 / $7,542.35 / $14,797.51	Professional		$4,794.27	$7,542.35	$14,797.51
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,156.42 / $4,313.66 / $9,726.70	Professional		$2,156.42	$4,313.66	$9,726.70
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