Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,710.35	Facility		$2,202.64	$2,202.64	$2,710.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Professional		$2,202.64	$2,202.64	$2,202.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,573.85 / $3,887.01 / $9,994.32	Facility		$2,573.85	$3,887.01	$9,994.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,202.63 / $2,202.63	Professional		$2,159.44	$2,202.63	$2,202.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Professional		$2,202.64	$2,202.64	$2,202.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,311.01 / $3,577.09 / $6,798.45	Professional		$2,311.01	$3,577.09	$6,798.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,335.92 / $2,159.44 / $2,159.44	Professional		$1,335.92	$2,159.44	$2,159.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,892.53 / $2,081.78 / $2,649.54	Professional		$1,892.53	$2,081.78	$2,649.54