Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $5,567.90 / $6,117.23	Facility		$4,971.34	$5,567.90	$6,117.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,035.55 / $4,971.34 / $4,971.34	Professional		$4,035.55	$4,971.34	$4,971.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $13,587.34 / $23,436.36	Facility		$0.02	$13,587.34	$23,436.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Professional		$4,971.34	$4,971.34	$4,971.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Facility		$4,971.34	$4,971.34	$4,971.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Professional		$4,971.34	$4,971.34	$4,971.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $5,166.29 / $5,166.29 / $8,657.15	Professional		$5,166.29	$5,166.29	$8,657.15
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $5,068.81 / $5,166.29	Professional		$4,873.85	$5,068.81	$5,166.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $5,468.47 / $6,959.88	Professional		$4,971.34	$5,468.47	$6,959.88