Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,584.89	Professional		$933.25	$1,202.26	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $15,488.17 / $20,892.96	Facility		$10,964.78	$15,488.17	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $112,201.85 / $128,824.96	Facility		$9,772.37	$112,201.85	$128,824.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $3,630.78	Professional		$1,348.96	$2,290.87	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $3,890.45	Professional		$1,288.25	$1,513.56	$3,890.45
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25