Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,874.19 / $1,874.19 / $2,249.03	Facility		$1,874.19	$1,874.19	$2,249.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.50 / $1,454.33 / $2,241.77	Professional		$1,288.50	$1,454.33	$2,241.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,328.54 / $3,328.54 / $3,945.65	Facility		$3,328.54	$3,328.54	$3,945.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.40 / $1,748.40 / $1,841.24	Professional		$1,748.40	$1,748.40	$1,841.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $2,289.62	Facility		$2,289.62	$2,289.62	$2,289.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $2,289.62	Professional		$1,671.42	$1,671.42	$2,289.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,694.97 / $2,694.97 / $8,318.02	Professional		$2,694.97	$2,694.97	$8,318.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.05 / $1,660.57 / $2,652.09	Professional		$1,107.05	$1,660.57	$2,652.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,492.96 / $2,742.26 / $3,490.14	Professional		$2,492.96	$2,742.26	$3,490.14