Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,128.61	Facility		$4,265.80	$4,265.80	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $4,265.80	Professional		$3,467.37	$4,265.80	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,709.64 / $15,488.17	Facility		$6,025.60	$8,709.64	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,265.80 / $4,897.79	Professional		$4,168.69	$4,265.80	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $8,128.31	Professional		$4,265.80	$4,265.80	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,265.80	Professional		$4,168.69	$4,168.69	$4,265.80