Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,570.88 / $14,791.08	Facility		$2,398.83	$4,570.88	$14,791.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,471.29 / $19,952.62	Facility		$9,332.54	$10,471.29	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
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
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
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,584.89	Facility		$1,000.00	$1,000.00	$1,584.89