Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $6,252.70	Facility		$5,210.58	$5,210.58	$6,252.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,936.06 / $7,407.19 / $10,216.82	Facility		$2,936.06	$7,407.19	$10,216.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,210.57 / $5,210.57	Professional		$5,108.41	$5,210.57	$5,210.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Facility		$5,210.58	$5,210.58	$5,210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $7,902.37 / $16,082.46	Professional		$5,210.58	$7,902.37	$16,082.46
United Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,210.58 / $5,486.46	Professional		$5,108.41	$5,210.58	$5,486.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $4,142.77 / $6,925.60 / $10,000.00	Professional		$4,142.77	$6,925.60	$10,000.00