Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,715.35 / $15,848.93	Facility		$2,398.83	$3,715.35	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $3,548.13	Professional		$1,621.81	$1,949.84	$3,548.13
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 $1,584.89 / $3,388.44 / $4,786.30	Professional		$1,584.89	$3,388.44	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $5,370.32	Professional		$1,621.81	$2,754.23	$5,370.32
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 $1,862.09 / $2,754.23 / $4,168.69	Professional		$1,862.09	$2,754.23	$4,168.69
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 $1,548.82 / $2,630.27 / $4,786.30	Professional		$1,548.82	$2,630.27	$4,786.30
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,089.30	Facility		$1,318.26	$1,318.26	$2,089.30