Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,494.60	Facility		$1,214.63	$1,214.63	$1,494.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $1,150.00 / $1,262.66	Professional		$920.00	$1,150.00	$1,262.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,452.09 / $1,821.95 / $4,999.17	Facility		$1,452.09	$1,821.95	$4,999.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,238.92 / $1,238.92	Professional		$1,214.63	$1,238.92	$1,238.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $2,062.82 / $4,081.16	Professional		$1,238.93	$2,062.82	$4,081.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,796.45	Professional		$1,214.63	$1,214.63	$1,796.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $765.05 / $1,208.94 / $1,854.41	Professional		$765.05	$1,208.94	$1,854.41