Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $14,791.08	Facility		$2,398.83	$4,073.80	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $2,398.83	Professional		$1,071.52	$1,258.93	$2,398.83
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 $1,122.02 / $2,238.72 / $3,162.28	Professional		$1,122.02	$2,238.72	$3,162.28
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 $1,348.96 / $2,041.74 / $3,630.78	Professional		$1,348.96	$2,041.74	$3,630.78
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,951.21	Professional		$1,318.26	$1,949.84	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,388.44	Professional		$1,258.93	$1,819.70	$3,388.44
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,445.44	Facility		$912.01	$912.01	$1,445.44