Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.07 / $3,357.54 / $20,437.20	Facility		$719.07	$3,357.54	$20,437.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.07 / $719.07 / $2,277.29	Professional		$719.07	$719.07	$2,277.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,802.74 / $5,651.76 / $13,196.59	Facility		$4,802.74	$5,651.76	$13,196.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,897.74 / $2,142.98	Professional		$1,167.83	$1,897.74	$2,142.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,400.97 / $11,972.23 / $12,602.25	Facility		$5,400.97	$11,972.23	$12,602.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,512.42 / $3,354.80 / $12,131.06	Professional		$1,512.42	$3,354.80	$12,131.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $4,237.51 / $9,617.45	Professional		$2,919.60	$4,237.51	$9,617.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $1,751.76	Professional		$1,226.23	$1,751.76	$1,751.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,157.17 / $2,674.89 / $3,805.25	Professional		$2,157.17	$2,674.89	$3,805.25