Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,875.54 / $2,875.54 / $3,450.65	Facility		$2,875.54	$2,875.54	$3,450.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,033.90 / $2,231.36 / $2,875.54	Professional		$2,033.90	$2,231.36	$2,875.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,106.93 / $5,106.93 / $6,053.77	Facility		$5,106.93	$5,106.93	$6,053.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,547.31 / $2,547.31 / $2,660.78	Professional		$2,547.31	$2,547.31	$2,660.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $3,006.81	Facility		$3,006.81	$3,006.81	$3,006.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,194.96 / $3,097.01	Professional		$2,194.96	$2,194.96	$3,097.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,134.85 / $4,134.85 / $12,762.25	Professional		$4,134.85	$4,134.85	$12,762.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $2,547.80 / $3,130.33	Professional		$1,698.53	$2,547.80	$3,130.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3,824.93 / $4,207.42 / $5,354.90	Professional		$3,824.93	$4,207.42	$5,354.90