Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,715.35 / $14,791.08	Facility		$2,398.83	$3,715.35	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,137.96	Professional		$977.24	$1,202.26	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,471.29 / $19,952.62	Facility		$9,332.54	$10,471.29	$19,952.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,041.74 / $2,884.03	Professional		$977.24	$2,041.74	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,235.94	Professional		$1,258.93	$1,819.70	$3,235.94
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 $1,148.15 / $1,698.24 / $2,570.40	Professional		$1,148.15	$1,698.24	$2,570.40
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 $1,148.15 / $1,621.81 / $3,019.95	Professional		$1,148.15	$1,621.81	$3,019.95
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,258.93	Facility		$794.33	$794.33	$1,258.93