Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $14,791.08	Facility		$2,398.83	$3,981.07	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,238.72	Professional		$1,023.29	$1,258.93	$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 $1,023.29 / $2,137.96 / $3,019.95	Professional		$1,023.29	$2,137.96	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,388.44	Professional		$1,318.26	$1,819.70	$3,388.44
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 $1,202.26 / $1,778.28 / $2,691.53	Professional		$1,202.26	$1,778.28	$2,691.53
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 $1,202.26 / $1,698.24 / $3,090.30	Professional		$1,202.26	$1,698.24	$3,090.30
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,318.26	Facility		$831.76	$831.76	$1,318.26