Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $9,772.37	Facility		$2,398.83	$3,890.45	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,570.40	Professional		$1,071.52	$1,230.27	$2,570.40
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 $977.24 / $2,137.96 / $3,019.95	Professional		$977.24	$2,137.96	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,162.28	Professional		$1,288.25	$1,819.70	$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 $1,148.15 / $1,698.24 / $2,570.40	Professional		$1,148.15	$1,698.24	$2,570.40
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 $1,148.15 / $1,621.81 / $3,019.95	Professional		$1,148.15	$1,621.81	$3,019.95
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,288.25	Facility		$812.83	$812.83	$1,288.25