Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,428.40 / $28,428.40 / $34,114.10	Facility		$28,428.40	$28,428.40	$34,114.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,568.13 / $20,847.48 / $28,428.38	Professional		$15,568.13	$20,847.48	$28,428.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39,823.40 / $39,823.40 / $47,206.66	Facility		$39,823.40	$39,823.40	$47,206.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,036.73 / $54,000.00 / $54,000.00	Professional		$4,036.73	$54,000.00	$54,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45,241.78 / $45,241.78 / $45,241.78	Facility		$45,241.78	$45,241.78	$45,241.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31,019.05 / $31,019.05 / $31,019.05	Professional		$31,019.05	$31,019.05	$31,019.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37,414.58 / $37,414.58 / $115,480.10	Professional		$37,414.58	$37,414.58	$115,480.10
United Facility/Professional Professional Modifier Low / Median / High Price $13,948.30 / $20,922.45 / $29,640.14	Professional		$13,948.30	$20,922.45	$29,640.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00