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 $5,033.01 / $6,314.94 / $17,327.34	Facility		$5,033.01	$6,314.94	$17,327.34
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 / $10,103.90	Professional		$4,209.96	$4,209.96	$10,103.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3,647.78 / $4,012.56 / $5,106.89	Professional		$3,647.78	$4,012.56	$5,106.89