Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,530.18	Facility		$1,243.54	$1,243.54	$1,530.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,457.51 / $2,194.48 / $5,807.73	Facility		$1,457.51	$2,194.48	$5,807.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,243.54 / $1,243.54	Professional		$1,219.16	$1,243.54	$1,243.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Facility		$1,243.54	$1,243.54	$1,243.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,304.72 / $2,019.51 / $3,838.19	Professional		$1,304.72	$2,019.51	$3,838.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,219.16	Professional		$1,219.16	$1,219.16	$1,219.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,083.75 / $1,192.13 / $1,517.25	Professional		$1,083.75	$1,192.13	$1,517.25