Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $9,772.37 / $12,882.50	Facility		$2,398.83	$9,772.37	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $7,244.36	Professional		$3,235.94	$3,801.89	$7,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $18,197.01 / $28,840.32	Facility		$5,623.41	$18,197.01	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $7,079.46 / $10,232.93	Professional		$3,388.44	$7,079.46	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $5,011.87 / $9,549.93	Professional		$1,479.11	$5,011.87	$9,549.93
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,388.44 / $7,413.10	Facility		$446.68	$3,388.44	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,495.41 / $8,709.64	Professional		$3,801.89	$5,495.41	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,388.44 / $7,413.10	Facility		$446.68	$3,388.44	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $9,772.37	Professional		$3,388.44	$5,370.32	$9,772.37
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $4,365.16	Facility		$2,570.40	$3,715.35	$4,365.16