Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.99 / $1,826.99 / $2,192.39	Facility		$1,826.99	$1,826.99	$2,192.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.96 / $1,417.70 / $1,826.99	Professional		$1,086.96	$1,417.70	$1,826.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,244.70 / $3,244.70 / $3,846.27	Facility		$3,244.70	$3,244.70	$3,846.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,482.13 / $1,482.13 / $1,552.93	Professional		$1,482.13	$1,482.13	$1,552.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $1,638.80	Facility		$1,638.80	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $1,638.80	Professional		$1,196.32	$1,196.32	$1,638.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,627.09 / $2,627.09 / $8,108.51	Professional		$2,627.09	$2,627.09	$8,108.51
United Facility/Professional Facility Modifier Low / Median / High Price $748.33 / $1,203.23 / $1,416.40	Facility		$748.33	$1,203.23	$1,416.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,079.16 / $1,618.75 / $1,734.42	Professional		$1,079.16	$1,618.75	$1,734.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,430.17 / $2,673.19 / $3,402.24	Professional		$2,430.17	$2,673.19	$3,402.24