Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $7,762.47	Facility		$6,456.54	$6,456.54	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,165.95 / $10,232.93	Professional		$4,786.30	$6,165.95	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $12,302.69 / $14,125.38	Facility		$11,748.98	$12,302.69	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,317.64	Facility		$8,128.31	$8,128.31	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $8,128.31	Professional		$5,888.44	$5,888.44	$8,128.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $17,378.01	Professional		$10,000.00	$10,000.00	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,918.31 / $7,943.28	Facility		$3,235.94	$6,918.31	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,025.60 / $10,000.00	Professional		$4,466.84	$6,025.60	$10,000.00
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $16,218.10	Facility		$10,232.93	$10,232.93	$16,218.10