Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.13 / $2,084.46 / $3,722.26	Facility		$1,861.13	$2,084.46	$3,722.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,861.13	Professional		$1,828.72	$1,828.72	$1,861.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,179.65 / $3,291.70 / $8,295.76	Facility		$2,179.65	$3,291.70	$8,295.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,861.13	Professional		$1,828.72	$1,828.72	$1,861.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.20 / $1,828.71 / $1,828.71	Facility		$1,725.20	$1,828.71	$1,828.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,828.71	Professional		$1,828.71	$1,828.71	$1,828.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,918.69 / $2,969.84 / $5,644.34	Professional		$1,918.69	$2,969.84	$5,644.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,828.72	Professional		$1,828.72	$1,828.72	$1,828.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3,261.96 / $3,588.16 / $4,566.74	Professional		$3,261.96	$3,588.16	$4,566.74