Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.79 / $1,496.79 / $1,796.15	Facility		$1,496.79	$1,496.79	$1,796.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.35 / $1,496.79 / $1,496.79	Professional		$1,426.35	$1,496.79	$1,496.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,754.32 / $2,201.16 / $6,039.69	Facility		$1,754.32	$2,201.16	$6,039.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.96 / $601.12 / $1,496.79	Professional		$478.96	$601.12	$1,496.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.77 / $482.77 / $482.77	Facility		$482.77	$482.77	$482.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.35 / $410.35 / $482.77	Professional		$410.35	$410.35	$482.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $683.29 / $683.29 / $2,108.96	Professional		$683.29	$683.29	$2,108.96
United Facility/Professional Professional Modifier Low / Median / High Price $280.68 / $421.03 / $653.97	Professional		$280.68	$421.03	$653.97
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $475.78 / $523.36 / $666.09	Professional		$475.78	$523.36	$666.09