Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $15,848.93	Facility		$2,398.83	$3,467.37	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,238.72	Professional		$1,023.29	$1,230.27	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $6,309.57	Facility		$3,467.37	$4,677.35	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $3,090.30	Professional		$1,174.90	$2,187.76	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,467.37	Professional		$1,258.93	$1,778.28	$3,467.37
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,090.30	Professional		$1,348.96	$1,995.26	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,090.30	Professional		$1,174.90	$1,698.24	$3,090.30
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,348.96	Facility		$851.14	$851.14	$1,348.96