Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,168.69 / $9,772.37	Facility		$2,398.83	$4,168.69	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,162.28	Professional		$1,258.93	$1,584.89	$3,162.28
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 $1,380.38 / $2,754.23 / $3,890.45	Professional		$1,380.38	$2,754.23	$3,890.45
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $3,981.07	Professional		$1,584.89	$2,290.87	$3,981.07
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,548.13	Professional		$1,621.81	$2,344.23	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,715.35	Professional		$1,479.11	$1,995.26	$3,715.35
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,659.59	Facility		$1,023.29	$1,023.29	$1,659.59