Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,677.35 / $9,772.37	Facility		$2,290.87	$4,677.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,754.23	Professional		$1,202.26	$1,380.38	$2,754.23
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 $1,258.93 / $2,691.53 / $3,890.45	Professional		$1,258.93	$2,691.53	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,995.26 / $3,630.78	Professional		$691.83	$1,995.26	$3,630.78
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 $1,445.44 / $2,089.30 / $3,311.31	Professional		$1,445.44	$2,089.30	$3,311.31
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 $1,412.54 / $2,041.74 / $3,630.78	Professional		$1,412.54	$2,041.74	$3,630.78
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,659.59	Facility		$1,000.00	$1,348.96	$1,659.59