Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Facility		$2,137.96	$2,137.96	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,691.53	Professional		$1,288.25	$1,862.09	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $4,786.30	Facility		$3,890.45	$4,168.69	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,778.28	Professional		$1,737.80	$1,737.80	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,818.38	Facility		$1,819.70	$1,819.70	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,819.70	Professional		$1,318.26	$1,318.26	$1,819.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,754.40	Professional		$3,311.31	$3,311.31	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,513.56 / $2,137.96	Facility		$891.25	$1,513.56	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $3,311.31	Professional		$1,258.93	$1,905.46	$3,311.31
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $5,495.41	Facility		$3,388.44	$3,388.44	$5,495.41