Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $5,380.72	Facility		$4,483.93	$4,483.93	$5,380.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $5,254.10	Professional		$4,483.93	$4,483.93	$5,254.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,471.30 / $1,730.95 / $1,730.95	Professional		$1,471.30	$1,730.95	$1,730.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $6,800.33 / $13,839.65	Professional		$4,483.93	$6,800.33	$13,839.65
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $5,275.21	Professional		$5,275.21	$5,275.21	$5,275.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,932.32 / $6,277.50	Professional		$4,483.93	$4,932.32	$6,277.50