Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,246.32 / $2,246.32 / $2,695.58	Facility		$2,246.32	$2,246.32	$2,695.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.24 / $1,743.10 / $2,246.32	Professional		$1,462.24	$1,743.10	$2,246.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,989.45 / $3,989.45 / $4,729.09	Facility		$3,989.45	$3,989.45	$4,729.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.39 / $2,000.39 / $2,089.50	Professional		$2,000.39	$2,000.39	$2,089.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $2,694.60	Facility		$2,694.60	$2,694.60	$2,694.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $2,694.60	Professional		$1,967.06	$1,967.06	$2,694.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,230.08 / $3,230.08 / $9,969.64	Professional		$3,230.08	$3,230.08	$9,969.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.86 / $1,990.30 / $2,458.23	Professional		$1,326.86	$1,990.30	$2,458.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,987.97 / $3,286.77 / $4,183.16	Professional		$2,987.97	$3,286.77	$4,183.16