Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,370.32 / $15,848.93	Facility		$2,398.83	$5,370.32	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $3,630.78	Professional		$1,288.25	$1,621.81	$3,630.78
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 $1,202.26 / $2,630.27 / $3,715.35	Professional		$1,202.26	$2,630.27	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $4,265.80	Professional		$1,621.81	$2,454.71	$4,265.80
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 / $2,089.30 / $3,715.35	Professional		$1,445.44	$2,089.30	$3,715.35
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,698.24	Facility		$1,047.13	$1,047.13	$1,698.24