Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,466.84 / $15,848.93	Facility		$2,398.83	$4,466.84	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,290.87	Professional		$1,174.90	$1,348.96	$2,290.87
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 / $2,454.71 / $3,467.37	Professional		$1,174.90	$2,454.71	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,801.89	Professional		$1,479.11	$2,089.30	$3,801.89
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 $1,380.38 / $1,995.26 / $3,019.95	Professional		$1,380.38	$1,995.26	$3,019.95
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 $1,380.38 / $1,949.84 / $3,467.37	Professional		$1,380.38	$1,949.84	$3,467.37
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,513.56	Facility		$954.99	$954.99	$1,513.56