Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,786.30 / $9,772.37	Facility		$2,290.87	$4,786.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $2,630.27	Professional		$1,202.26	$1,348.96	$2,630.27
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 $1,288.25 / $2,570.40 / $3,801.89	Professional		$1,288.25	$2,570.40	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $3,467.37	Professional		$1,202.26	$1,995.26	$3,467.37
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 $1,380.38 / $1,995.26 / $3,630.78	Professional		$1,380.38	$1,995.26	$3,630.78
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,621.81	Facility		$954.99	$1,318.26	$1,621.81