Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,754.23	Facility		$2,290.87	$2,290.87	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $4,466.84	Professional		$1,737.80	$2,290.87	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $4,897.79	Facility		$4,073.80	$4,265.80	$4,897.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,019.95	Professional		$2,187.76	$2,187.76	$3,019.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $6,025.60	Professional		$3,467.37	$3,467.37	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,691.53 / $3,019.95	Facility		$1,230.27	$2,691.53	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $3,467.37	Professional		$1,548.82	$2,454.71	$3,467.37
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $5,623.41	Facility		$3,548.13	$3,548.13	$5,623.41