Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.36 / $2,880.00 / $9,704.04	Facility		$2,517.36	$2,880.00	$9,704.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,964.19 / $4,164.06 / $6,296.61	Facility		$1,964.19	$4,164.06	$6,296.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,643.84 / $2,643.84	Professional		$2,592.00	$2,643.84	$2,643.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Facility		$2,643.84	$2,643.84	$2,643.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $4,009.65 / $8,160.21	Professional		$2,643.84	$4,009.65	$8,160.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,643.84	Professional		$2,592.00	$2,592.00	$2,643.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,517.36 / $2,940.28 / $4,440.62	Professional		$2,517.36	$2,940.28	$4,440.62