Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,709.12 / $19,136.70 / $54,432.00	Facility		$8,709.12	$19,136.70	$54,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.40 / $2,480.40 / $6,065.28	Professional		$2,480.40	$2,480.40	$6,065.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,791.52 / $15,052.78 / $38,719.04	Facility		$12,791.52	$15,052.78	$38,719.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,110.40 / $5,054.39 / $5,054.39	Professional		$3,110.40	$5,054.39	$5,054.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,041.12 / $28,427.15 / $34,112.15	Facility		$14,041.12	$28,427.15	$34,112.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,028.02 / $15,192.81 / $32,311.38	Professional		$4,028.02	$15,192.81	$32,311.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $7,776.00 / $10,553.59 / $24,000.62	Professional		$7,776.00	$10,553.59	$24,000.62
United Facility/Professional Professional Modifier Low / Median / High Price $3,265.92 / $4,665.60 / $9,838.04	Professional		$3,265.92	$4,665.60	$9,838.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00