Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,548.13	Facility		$2,951.21	$2,951.21	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $4,073.80	Professional		$1,995.26	$2,570.40	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,623.41 / $6,456.54	Facility		$5,370.32	$5,623.41	$6,456.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,754.23	Professional		$2,691.53	$2,691.53	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,801.89	Facility		$2,754.23	$2,754.23	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,754.23	Professional		$2,041.74	$2,041.74	$2,754.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $7,943.28	Professional		$4,570.88	$4,570.88	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,951.21 / $3,311.31	Facility		$1,380.38	$2,951.21	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $4,570.88	Professional		$2,041.74	$2,818.38	$4,570.88
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $7,413.10	Facility		$4,677.35	$4,677.35	$7,413.10