Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $4,487.58	Facility		$3,739.65	$3,739.65	$4,487.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Professional		$3,739.65	$3,739.65	$3,739.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $967.65 / $2,988.68 / $6,599.39	Facility		$967.65	$2,988.68	$6,599.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,739.65 / $3,739.65	Professional		$3,666.33	$3,739.65	$3,739.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Facility		$3,739.65	$3,739.65	$3,739.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Professional		$3,739.65	$3,739.65	$3,739.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $5,671.55 / $11,542.43	Professional		$3,739.65	$5,671.55	$11,542.43
United Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,666.33 / $3,739.65	Professional		$3,666.33	$3,666.33	$3,739.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $417.48 / $522.23 / $3,000.00	Professional		$417.48	$522.23	$3,000.00