Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,576.50	Facility		$2,147.08	$2,147.08	$2,576.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,515.87	Professional		$2,147.08	$2,147.08	$2,515.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.35 / $2,946.97 / $3,894.41	Facility		$1,093.35	$2,946.97	$3,894.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,147.08 / $2,147.08	Professional		$2,104.98	$2,147.08	$2,147.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Facility		$2,147.08	$2,147.08	$2,147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $3,256.26 / $6,626.96	Professional		$2,147.08	$3,256.26	$6,626.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,641.50 / $2,104.98 / $2,104.98	Professional		$1,641.50	$2,104.98	$2,104.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,823.89 / $2,006.28 / $2,553.44	Professional		$1,823.89	$2,006.28	$2,553.44