Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.34 / $2,145.34 / $2,574.41	Facility		$2,145.34	$2,145.34	$2,574.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,211.01 / $1,664.73 / $2,312.65	Professional		$1,211.01	$1,664.73	$2,312.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,810.09 / $3,810.09 / $4,516.47	Facility		$3,810.09	$3,810.09	$4,516.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,718.05 / $1,718.05 / $1,854.40	Professional		$1,718.05	$1,718.05	$1,854.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $1,815.81	Facility		$1,815.81	$1,815.81	$1,815.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $1,935.74	Professional		$1,325.54	$1,325.54	$1,935.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,084.86 / $3,084.86 / $9,521.42	Professional		$3,084.86	$3,084.86	$9,521.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,267.21 / $2,036.64 / $3,084.86	Professional		$1,267.21	$2,036.64	$3,084.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,853.63 / $3,138.99 / $3,995.08	Professional		$2,853.63	$3,138.99	$3,995.08