Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $2,097.90	Facility		$1,748.25	$1,748.25	$2,097.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.39 / $2,570.96 / $3,639.74	Facility		$1,135.39	$2,570.96	$3,639.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,748.24 / $1,748.24	Professional		$1,713.97	$1,748.24	$1,748.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $2,651.40 / $5,395.97	Professional		$1,748.25	$2,651.40	$5,395.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $1,748.25	Professional		$1,713.97	$1,713.97	$1,748.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,570.43 / $2,145.65 / $3,000.00	Professional		$1,570.43	$2,145.65	$3,000.00