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 $1,621.81 / $1,862.09 / $2,951.21	Professional		$1,621.81	$1,862.09	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $4,677.35	Facility		$3,890.45	$4,168.69	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,884.03 / $2,884.03	Facility		$2,818.38	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,754.40	Professional		$3,311.31	$3,311.31	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,995.26 / $2,398.83	Facility		$851.14	$1,995.26	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,311.31	Professional		$1,479.11	$2,041.74	$3,311.31
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,981.07	Facility		$2,511.89	$2,511.89	$3,981.07