Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,791.72	Facility		$3,081.45	$3,081.45	$3,791.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,257.43 / $5,437.87 / $10,442.37	Facility		$3,257.43	$5,437.87	$10,442.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,081.45 / $3,081.45	Professional		$3,021.04	$3,081.45	$3,081.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Facility		$3,081.45	$3,081.45	$3,081.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,415.16 / $3,738.30 / $7,104.85	Professional		$2,415.16	$3,738.30	$7,104.85
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,021.04	Professional		$3,021.04	$3,021.04	$3,021.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,794.97 / $3,074.47 / $3,912.96	Professional		$2,794.97	$3,074.47	$3,912.96