Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.75 / $1,383.75 / $1,660.50	Facility		$1,383.75	$1,383.75	$1,660.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.26 / $1,073.75 / $1,383.75	Professional		$932.26	$1,073.75	$1,383.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,457.52 / $2,457.52 / $2,913.14	Facility		$2,457.52	$2,457.52	$2,913.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.38 / $1,275.38 / $1,332.19	Professional		$1,275.38	$1,275.38	$1,332.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Facility		$1,620.00	$1,620.00	$1,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,182.59 / $1,668.60	Professional		$1,182.59	$1,182.59	$1,668.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,989.74 / $1,989.74 / $6,141.33	Professional		$1,989.74	$1,989.74	$6,141.33
United Facility/Professional Professional Modifier Low / Median / High Price $817.35 / $1,226.03 / $1,604.89	Professional		$817.35	$1,226.03	$1,604.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,840.60 / $2,024.66 / $2,576.84	Professional		$1,840.60	$2,024.66	$2,576.84