Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,248.07 / $9,772.37	Facility		$2,398.83	$5,248.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $3,548.13	Professional		$1,445.44	$1,737.80	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $21,877.62 / $34,673.69	Facility		$10,000.00	$21,877.62	$34,673.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $4,073.80	Professional		$1,318.26	$2,884.03	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $4,365.16	Professional		$1,737.80	$2,511.89	$4,365.16
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 $1,548.82 / $2,290.87 / $3,467.37	Professional		$1,548.82	$2,290.87	$3,467.37
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 $1,584.89 / $2,187.76 / $4,073.80	Professional		$1,584.89	$2,187.76	$4,073.80
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,819.70	Facility		$1,122.02	$1,122.02	$1,819.70