Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $3,237.66 / $3,319.95	Facility		$2,698.05	$3,237.66	$3,319.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,021.82	Professional		$2,698.05	$2,698.05	$3,021.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,225.52 / $4,856.49 / $11,792.37	Facility		$3,225.52	$4,856.49	$11,792.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Professional		$2,698.05	$2,698.05	$2,698.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.33 / $2,698.05 / $2,698.05	Facility		$2,545.33	$2,698.05	$2,698.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Professional		$2,698.05	$2,698.05	$2,698.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $4,521.12	Professional		$2,698.05	$2,698.05	$4,521.12
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,859.93	Professional		$2,698.05	$2,698.05	$2,859.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,351.11 / $2,586.21 / $3,291.55	Professional		$2,351.11	$2,586.21	$3,291.55