Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $5,152.99	Facility		$4,294.16	$4,294.16	$5,152.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,459.52 / $4,507.89 / $7,577.93	Facility		$1,459.52	$4,507.89	$7,577.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,294.14 / $4,294.14	Professional		$4,209.96	$4,294.14	$4,294.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $6,512.52 / $13,253.92	Professional		$4,294.16	$6,512.52	$13,253.92
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $4,294.16	Professional		$4,209.96	$4,209.96	$4,294.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $4,194.95 / $6,434.68	Professional		$3,000.00	$4,194.95	$6,434.68