Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,391.01 / $4,604.99 / $4,761.22	Professional		$4,391.01	$4,604.99	$4,761.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,388.00 / $4,388.00 / $4,388.00	Professional		$4,388.00	$4,388.00	$4,388.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,470.13 / $5,470.13 / $5,470.13	Facility		$5,470.13	$5,470.13	$5,470.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.88 / $4,649.60 / $5,470.13	Professional		$585.88	$4,649.60	$5,470.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $5,956.99 / $16,721.87 / $21,194.37	Professional		$5,956.99	$16,721.87	$21,194.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,842.59 / $2,763.88 / $4,948.56	Professional		$1,842.59	$2,763.88	$4,948.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $4,839.10 / $5,361.62 / $6,823.88	Professional		$4,839.10	$5,361.62	$6,823.88