Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,652.40	Facility		$1,377.00	$1,377.00	$1,652.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.20 / $1,377.00 / $1,377.00	Professional		$1,312.20	$1,377.00	$1,377.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $2,564.39 / $4,250.10	Professional		$1,377.00	$2,564.39	$4,250.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $2,623.46	Professional		$1,350.00	$1,350.00	$2,623.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $952.85 / $1,112.93 / $3,500.00	Professional		$952.85	$1,112.93	$3,500.00