Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $9,772.37 / $10,000.00	Facility		$2,398.83	$9,772.37	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $6,760.83	Professional		$2,818.38	$3,311.31	$6,760.83
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 $2,818.38 / $5,888.44 / $8,317.64	Professional		$2,818.38	$5,888.44	$8,317.64
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 $3,388.44 / $4,677.35 / $8,511.38	Professional		$3,388.44	$4,677.35	$8,511.38
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 $3,311.31 / $4,786.30 / $7,413.10	Professional		$3,311.31	$4,786.30	$7,413.10
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 $3,162.28 / $4,265.80 / $7,943.28	Professional		$3,162.28	$4,265.80	$7,943.28
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,467.37	Facility		$2,187.76	$2,187.76	$3,467.37