Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $5,564.81 / $9,937.16	Facility		$4,968.58	$5,564.81	$9,937.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,160.01 / $9,302.81 / $23,445.16	Facility		$6,160.01	$9,302.81	$23,445.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,968.58 / $5,168.22 / $5,168.22	Professional		$4,968.58	$5,168.22	$5,168.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,875.68 / $5,168.22 / $5,168.22	Facility		$4,875.68	$5,168.22	$5,168.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $5,422.51 / $8,393.20 / $15,951.74	Professional		$5,422.51	$8,393.20	$15,951.74
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $4,215.66 / $4,637.22 / $5,901.92	Professional		$4,215.66	$4,637.22	$5,901.92