Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Facility		$2,137.96	$2,137.96	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,235.94	Professional		$1,659.59	$1,949.84	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $4,786.30	Facility		$3,890.45	$4,168.69	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,818.38	Facility		$2,511.89	$2,511.89	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,511.89	Professional		$1,862.09	$1,862.09	$2,511.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $5,888.44	Professional		$3,388.44	$3,388.44	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,398.83 / $2,630.27	Facility		$1,071.52	$2,398.83	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,388.44	Professional		$1,513.56	$2,041.74	$3,388.44
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $5,495.41	Facility		$3,467.37	$3,467.37	$5,495.41