Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $9,772.37	Facility		$1,819.70	$2,398.83	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $263.03	Facility		$165.96	$165.96	$263.03
Well Sense Facility/Professional Facility Modifier 62 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	62	$95.50	$95.50	$95.50