Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,677.35 / $9,772.37	Facility		$1,819.70	$4,677.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,951.21	Professional		$1,258.93	$1,479.11	$2,951.21
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 $1,174.90 / $2,570.40 / $3,630.78	Professional		$1,174.90	$2,570.40	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $3,801.89	Professional		$1,548.82	$2,187.76	$3,801.89
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 $1,380.38 / $2,041.74 / $3,090.30	Professional		$1,380.38	$2,041.74	$3,090.30
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 $1,348.96 / $1,949.84 / $3,630.78	Professional		$1,348.96	$1,949.84	$3,630.78
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,548.82	Facility		$954.99	$954.99	$1,548.82