Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,698.24	Facility		$1,318.26	$1,479.11	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,479.11	Professional		$1,258.93	$1,318.26	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $4,786.30	Facility		$1,862.09	$2,691.53	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,445.44	Professional		$1,288.25	$1,318.26	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $645.65	Professional		$371.54	$371.54	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,288.25 / $1,380.38	Professional		$363.08	$1,288.25	$1,380.38
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,238.72	Facility		$1,318.26	$1,819.70	$2,238.72