Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,248.07 / $15,848.93	Facility		$2,398.83	$5,248.07	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $3,090.30	Professional		$1,380.38	$1,698.24	$3,090.30
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 $1,348.96 / $2,884.03 / $4,073.80	Professional		$1,348.96	$2,884.03	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $4,570.88	Professional		$1,819.70	$2,454.71	$4,570.88
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 $1,584.89 / $2,344.23 / $3,467.37	Professional		$1,584.89	$2,344.23	$3,467.37
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 / $4,168.69	Professional		$1,621.81	$2,290.87	$4,168.69
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,819.70	Facility		$1,148.15	$1,148.15	$1,819.70