Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,165.95 / $15,848.93	Facility		$2,398.83	$6,165.95	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $3,019.95	Professional		$1,548.82	$1,905.46	$3,019.95
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 $1,548.82 / $3,235.94 / $4,570.88	Professional		$1,548.82	$3,235.94	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $5,128.61	Professional		$2,041.74	$2,818.38	$5,128.61
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 $1,819.70 / $2,630.27 / $3,981.07	Professional		$1,819.70	$2,630.27	$3,981.07
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 $1,819.70 / $2,570.40 / $4,677.35	Professional		$1,819.70	$2,570.40	$4,677.35
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,041.74	Facility		$1,258.93	$1,258.93	$2,041.74