Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,125.55 / $4,950.66 / $5,076.49	Facility		$4,125.55	$4,950.66	$5,076.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,125.55 / $4,128.02 / $4,293.14	Professional		$4,125.55	$4,128.02	$4,293.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,935.05 / $7,430.44 / $18,042.34	Facility		$4,935.05	$7,430.44	$18,042.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,894.36 / $4,128.02 / $4,128.02	Facility		$3,894.36	$4,128.02	$4,128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $89.68 / $157.50	Professional		$89.68	$89.68	$157.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $4,128.02 / $4,375.70	Professional		$47.83	$4,128.02	$4,375.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $127.91 / $162.79	Professional		$116.28	$127.91	$162.79