Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,344.23	Facility		$1,949.84	$1,949.84	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $3,019.95	Professional		$1,513.56	$1,819.70	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,801.89 / $4,365.16	Facility		$3,548.13	$3,801.89	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,570.40	Facility		$2,398.83	$2,398.83	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,398.83	Professional		$1,737.80	$1,737.80	$2,398.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $5,370.32	Professional		$3,019.95	$3,019.95	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $2,570.40	Facility		$1,047.13	$2,238.72	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,019.95	Professional		$1,348.96	$1,862.09	$3,019.95
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,011.87	Facility		$3,090.30	$3,090.30	$5,011.87