Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $20,892.96	Facility		$2,398.83	$5,888.44	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $3,311.31	Professional		$1,513.56	$1,862.09	$3,311.31
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 $1,479.11 / $3,162.28 / $4,466.84	Professional		$1,479.11	$3,162.28	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $5,011.87	Professional		$1,862.09	$2,691.53	$5,011.87
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $3,801.89	Professional		$1,737.80	$2,570.40	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $4,466.84	Professional		$1,737.80	$2,511.89	$4,466.84
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,949.84	Facility		$1,230.27	$1,230.27	$1,949.84