Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $13,588.32 / $13,588.32	Facility		$3,468.00	$13,588.32	$13,588.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,386.40 / $3,468.00 / $4,080.00	Professional		$3,386.40	$3,468.00	$4,080.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,987.07 / $5,010.46 / $6,420.26	Facility		$1,987.07	$5,010.46	$6,420.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,468.00 / $3,468.00	Professional		$3,400.00	$3,468.00	$3,468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $8,611.39	Professional		$3,468.00	$3,468.00	$8,611.39
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $3,468.00	Professional		$3,400.00	$3,400.00	$3,468.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,856.00 / $3,141.60 / $3,998.40	Professional		$2,856.00	$3,141.60	$3,998.40