Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.42 / $1,007.42 / $1,239.63	Facility		$1,007.42	$1,007.42	$1,239.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,007.42 / $1,007.42	Professional		$1,007.42	$1,007.42	$1,007.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $2,753.43 / $4,749.29	Facility		$0.02	$2,753.43	$4,749.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Facility		$1,046.93	$1,046.93	$1,046.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,098.44 / $1,700.21 / $3,231.35	Professional		$1,098.44	$1,700.21	$3,231.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,185.20	Professional		$1,185.20	$1,185.20	$1,185.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,046.75 / $1,151.43 / $1,465.45	Professional		$1,046.75	$1,151.43	$1,465.45