Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,495.41 / $14,791.08	Facility		$2,398.83	$5,495.41	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $3,548.13	Professional		$1,513.56	$1,778.28	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,623.41 / $8,912.51	Facility		$5,011.87	$5,623.41	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,951.21 / $4,168.69	Professional		$1,380.38	$2,951.21	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $4,677.35	Professional		$1,737.80	$2,454.71	$4,677.35
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $3,630.78	Professional		$1,621.81	$2,398.83	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $4,265.80	Professional		$1,621.81	$2,290.87	$4,265.80
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,862.09	Facility		$1,174.90	$1,174.90	$1,862.09