Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.25 / $1,264.25 / $1,517.10	Facility		$1,264.25	$1,264.25	$1,517.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.25 / $1,342.54 / $1,395.93	Professional		$1,264.25	$1,342.54	$1,395.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,331.34 / $3,905.72 / $4,339.52	Facility		$3,331.34	$3,905.72	$4,339.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,868.90 / $1,868.90 / $2,198.69	Professional		$1,868.90	$1,868.90	$2,198.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $1,700.00	Professional		$1,700.00	$1,700.00	$1,700.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,571.53 / $5,800.16 / $11,764.98	Professional		$3,571.53	$5,800.16	$11,764.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.69 / $1,826.34 / $3,957.07	Professional		$1,226.69	$1,826.34	$3,957.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,444.35 / $2,708.28 / $3,446.90	Professional		$2,444.35	$2,708.28	$3,446.90