Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,969.12	Facility		$1,640.93	$1,640.93	$1,969.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,969.11	Professional		$1,640.93	$1,640.93	$1,969.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.05 / $1,640.93 / $1,640.93	Facility		$1,548.05	$1,640.93	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,381.65	Professional		$1,640.93	$1,640.93	$2,381.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $667.25 / $800.70	Professional		$122.40	$667.25	$800.70