Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $4,736.88	Facility		$3,947.40	$3,947.40	$4,736.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,709.36 / $5,805.00 / $8,685.44	Facility		$2,709.36	$5,805.00	$8,685.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,947.40 / $3,947.40	Professional		$3,870.00	$3,947.40	$3,947.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $5,986.63 / $12,183.65	Professional		$3,947.40	$5,986.63	$12,183.65
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $3,947.40	Professional		$3,870.00	$3,870.00	$3,947.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $6,657.95 / $10,000.00	Professional		$3,000.00	$6,657.95	$10,000.00