Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $9,772.37	Facility		$2,398.83	$5,754.40	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $3,090.30	Professional		$1,412.54	$1,584.89	$3,090.30
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 $1,412.54 / $3,019.95 / $4,365.16	Professional		$1,412.54	$3,019.95	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $4,073.80	Professional		$1,230.27	$2,187.76	$4,073.80
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,677.35 / $12,302.69	Facility		$1,122.02	$4,677.35	$12,302.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,715.35	Professional		$1,621.81	$2,344.23	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,677.35 / $12,302.69	Facility		$1,122.02	$4,677.35	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $4,073.80	Professional		$1,548.82	$2,290.87	$4,073.80
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,862.09	Facility		$1,122.02	$1,513.56	$1,862.09