Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.80 / $1,020.80 / $1,224.96	Facility		$1,020.80	$1,020.80	$1,224.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.12 / $927.11 / $1,083.52	Professional		$792.12	$927.11	$1,083.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,812.92 / $1,812.92 / $2,149.04	Facility		$1,812.92	$1,812.92	$2,149.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.56 / $1,107.56 / $1,156.90	Professional		$1,107.56	$1,107.56	$1,156.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $1,132.82	Facility		$1,132.82	$1,132.82	$1,132.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $1,132.82	Professional		$826.96	$826.96	$1,132.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,467.84 / $1,467.84 / $4,530.49	Professional		$1,467.84	$1,467.84	$4,530.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $602.96 / $904.45 / $1,362.42	Professional		$602.96	$904.45	$1,362.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,357.82 / $1,493.60 / $1,900.95	Professional		$1,357.82	$1,493.60	$1,900.95