Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,786.30 / $11,481.54	Facility		$2,398.83	$4,786.30	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $3,467.37	Professional		$1,348.96	$1,698.24	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,623.41 / $8,912.51	Facility		$5,011.87	$5,623.41	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,090.30 / $4,265.80	Professional		$1,513.56	$3,090.30	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $4,365.16	Professional		$1,737.80	$2,398.83	$4,365.16
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $3,981.07	Professional		$1,778.28	$2,630.27	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $4,265.80	Professional		$1,621.81	$2,238.72	$4,265.80
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