Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $1,428.00	Facility		$1,190.00	$1,190.00	$1,428.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $1,394.40	Professional		$1,190.00	$1,190.00	$1,394.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $680.00 / $680.00	Professional		$640.00	$680.00	$680.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $1,152.61 / $2,345.73	Professional		$760.00	$1,152.61	$2,345.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Professional		$1,400.00	$1,400.00	$1,400.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00