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 $1,472.16 / $3,085.15 / $4,719.31	Facility		$1,472.16	$3,085.15	$4,719.31
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 $1,559.34 / $1,715.27 / $2,183.08	Professional		$1,559.34	$1,715.27	$2,183.08