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 / $14,791.08	Facility		$2,398.83	$4,168.69	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $2,630.27	Professional		$1,071.52	$1,258.93	$2,630.27
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 $954.99 / $2,137.96 / $3,019.95	Professional		$954.99	$2,137.96	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,162.28	Professional		$1,288.25	$1,949.84	$3,162.28
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,511.89	Professional		$1,122.02	$1,698.24	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,162.28	Professional		$1,122.02	$1,621.81	$3,162.28
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,318.26	Facility		$812.83	$812.83	$1,318.26