Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.40 / $1,083.40 / $1,300.08	Facility		$1,083.40	$1,083.40	$1,300.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.69 / $840.69 / $1,167.90	Professional		$752.69	$840.69	$1,167.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,924.12 / $1,924.12 / $2,280.85	Facility		$1,924.12	$1,924.12	$2,280.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.47 / $1,095.47 / $1,143.14	Professional		$1,095.47	$1,095.47	$1,143.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,186.93	Facility		$1,186.93	$1,186.93	$1,186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $866.46 / $1,265.32	Professional		$866.46	$866.46	$1,265.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,557.87 / $1,557.87 / $4,808.37	Professional		$1,557.87	$1,557.87	$4,808.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $639.94 / $959.92 / $1,139.78	Professional		$639.94	$959.92	$1,139.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,441.10 / $1,585.21 / $2,017.54	Professional		$1,441.10	$1,585.21	$2,017.54