Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,844.67 / $1,844.67 / $2,213.60	Facility		$1,844.67	$1,844.67	$2,213.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,844.67 / $1,844.67 / $4,115.92	Professional		$1,844.67	$1,844.67	$4,115.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.50 / $792.50 / $792.50	Professional		$792.50	$792.50	$792.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,844.67 / $2,797.63 / $5,693.57	Professional		$1,844.67	$2,797.63	$5,693.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,170.19	Professional		$2,170.19	$2,170.19	$2,170.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,029.14 / $2,500.00 / $3,493.80	Professional		$2,029.14	$2,500.00	$3,493.80