Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,223.98 / $1,344.74	Facility		$1,092.83	$1,223.98	$1,344.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.13 / $1,092.83 / $1,092.83	Professional		$887.13	$1,092.83	$1,092.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.86 / $1,930.67 / $4,963.76	Facility		$1,280.86	$1,930.67	$4,963.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,092.83 / $1,092.83	Professional		$1,071.41	$1,092.83	$1,092.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Professional		$1,092.83	$1,092.83	$1,092.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,135.69 / $1,135.69 / $1,903.08	Professional		$1,135.69	$1,135.69	$1,903.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,092.83 / $1,135.69	Professional		$1,071.41	$1,092.83	$1,135.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,202.11 / $1,529.98	Professional		$1,092.83	$1,202.11	$1,529.98