Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $14,791.08	Facility		$2,398.83	$5,128.61	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,754.23	Professional		$1,230.27	$1,548.82	$2,754.23
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 $1,230.27 / $2,511.89 / $3,548.13	Professional		$1,230.27	$2,511.89	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $4,073.80	Professional		$1,513.56	$2,238.72	$4,073.80
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 $1,445.44 / $2,089.30 / $3,162.28	Professional		$1,445.44	$2,089.30	$3,162.28
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 $1,445.44 / $2,041.74 / $3,715.35	Professional		$1,445.44	$2,041.74	$3,715.35
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,621.81	Facility		$1,023.29	$1,023.29	$1,621.81