Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $4,284.00	Facility		$3,570.00	$3,570.00	$4,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $4,183.20	Professional		$3,570.00	$3,570.00	$4,183.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $2,098.79 / $3,620.14	Facility		$0.02	$2,098.79	$3,620.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,570.00 / $3,570.00	Professional		$3,500.00	$3,570.00	$3,570.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Facility		$3,384.12	$3,384.12	$3,384.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $5,414.26 / $11,018.80	Professional		$3,570.00	$5,414.26	$11,018.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $4,200.00 / $4,200.00	Professional		$3,570.00	$4,200.00	$4,200.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,927.00 / $4,998.00	Professional		$3,570.00	$3,927.00	$4,998.00