Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.15 / $1,375.15 / $1,692.12	Facility		$1,375.15	$1,375.15	$1,692.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.15 / $1,375.15 / $1,375.15	Professional		$1,375.15	$1,375.15	$1,375.15
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 $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Facility		$1,429.07	$1,429.07	$1,429.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,939.53 / $2,379.40 / $4,410.82	Professional		$1,939.53	$2,379.40	$4,410.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,388.63	Professional		$1,388.63	$1,388.63	$1,388.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,375.15 / $1,512.67 / $1,925.21	Professional		$1,375.15	$1,512.67	$1,925.21