Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,311.31	Professional		$1,445.44	$1,819.70	$3,311.31
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 $1,412.54 / $3,019.95 / $4,168.69	Professional		$1,412.54	$3,019.95	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $4,786.30	Professional		$1,819.70	$2,754.23	$4,786.30
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 $1,698.24 / $2,454.71 / $3,715.35	Professional		$1,698.24	$2,454.71	$3,715.35
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 $1,698.24 / $2,398.83 / $4,365.16	Professional		$1,698.24	$2,398.83	$4,365.16
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,905.46	Facility		$1,202.26	$1,202.26	$1,905.46