Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,165.95 / $9,772.37	Facility		$2,398.83	$6,165.95	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $4,786.30	Professional		$1,621.81	$1,819.70	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $15,135.61 / $23,988.33	Facility		$5,623.41	$15,135.61	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $4,677.35	Professional		$1,621.81	$3,235.94	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $3,388.44 / $5,370.32	Professional		$630.96	$3,388.44	$5,370.32
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $5,128.61	Professional		$1,862.09	$3,019.95	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $5,495.41	Professional		$1,949.84	$3,019.95	$5,495.41