Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,288.25 / $1,513.56	Facility		$131.83	$1,288.25	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,513.56	Professional		$1,202.26	$1,258.93	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $331.13	Professional		$138.04	$208.93	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $1,258.93	Professional		$125.89	$208.93	$1,258.93
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,041.74	Facility		$1,288.25	$1,288.25	$2,041.74