Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $530.00 / $636.00	Facility		$530.00	$530.00	$636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.00 / $2,784.38 / $3,062.82	Professional		$636.00	$2,784.38	$3,062.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,626.77 / $2,784.38 / $2,784.38	Facility		$2,626.77	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $4,041.25	Professional		$2,784.38	$2,784.38	$4,041.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,570.00	Professional		$2,784.38	$2,784.38	$3,570.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $288.00 / $360.00	Professional		$240.00	$288.00	$360.00