Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $354.76 / $2,331.21	Facility		$100.00	$354.76	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $367.67 / $448.26	Professional		$250.80	$367.67	$448.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.90 / $419.90 / $419.90	Facility		$419.90	$419.90	$419.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $325.56	Professional		$325.56	$325.56	$325.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $405.11 / $637.32 / $1,250.36	Professional		$405.11	$637.32	$1,250.36
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.11 / $609.87 / $1,286.07	Professional		$405.11	$609.87	$1,286.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $299.70 / $329.67 / $419.58	Professional		$299.70	$329.67	$419.58