Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $2,244.00	Facility		$1,870.00	$1,870.00	$2,244.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,782.00 / $1,870.00 / $1,870.00	Professional		$1,782.00	$1,870.00	$1,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,760.00	Professional		$1,760.00	$1,760.00	$1,760.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $2,714.12	Professional		$1,870.00	$1,870.00	$2,714.12
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,200.00	Professional		$2,200.00	$2,200.00	$2,200.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,057.00 / $2,618.00	Professional		$1,870.00	$2,057.00	$2,618.00