Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,778.28	Facility		$1,479.11	$1,479.11	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,137.96	Professional		$1,148.15	$1,318.26	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Professional		$1,412.54	$1,412.54	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,949.84	Facility		$1,479.11	$1,479.11	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,479.11	Professional		$1,258.93	$1,258.93	$1,479.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,981.07	Professional		$2,290.87	$2,290.87	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,621.81 / $1,778.28	Facility		$724.44	$1,621.81	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,290.87	Professional		$1,023.29	$1,412.54	$2,290.87
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,754.23	Facility		$1,737.80	$1,737.80	$2,754.23