Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,380.38	Facility		$1,096.48	$1,230.27	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,230.27	Professional		$1,023.29	$1,096.48	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $3,890.45	Facility		$1,513.56	$2,238.72	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,202.26	Professional		$1,071.52	$1,096.48	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,202.26	Professional		$1,148.15	$1,148.15	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,174.90	Professional		$1,071.52	$1,148.15	$1,174.90
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,819.70	Facility		$1,096.48	$1,479.11	$1,819.70