Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,890.45 / $15,848.93	Facility		$1,659.59	$3,890.45	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,000.00 / $18,197.01	Facility		$8,912.51	$10,000.00	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,412.54	Facility		$891.25	$891.25	$1,412.54