Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.22 / $1,096.22 / $1,315.46	Facility		$1,096.22	$1,096.22	$1,315.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.65 / $865.66 / $1,311.22	Professional		$850.65	$865.66	$1,311.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,946.87 / $1,946.87 / $2,307.82	Facility		$1,946.87	$1,946.87	$2,307.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,146.20 / $1,146.20 / $1,197.26	Professional		$1,146.20	$1,146.20	$1,197.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,576.65	Facility		$1,576.65	$1,576.65	$1,576.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,150.95 / $1,576.65	Professional		$1,150.95	$1,150.95	$1,576.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,576.30 / $1,576.30 / $4,865.25	Professional		$1,576.30	$1,576.30	$4,865.25
United Facility/Professional Professional Modifier Low / Median / High Price $647.52 / $971.27 / $1,408.54	Professional		$647.52	$971.27	$1,408.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,458.15 / $1,603.97 / $2,041.41	Professional		$1,458.15	$1,603.97	$2,041.41