Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,523.88	Facility		$1,269.90	$1,269.90	$1,523.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.14 / $1,269.90 / $1,269.90	Professional		$1,210.14	$1,269.90	$1,269.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,269.90 / $1,269.90	Professional		$1,245.00	$1,269.90	$1,269.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $291.27 / $422.75	Professional		$291.27	$291.27	$422.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,225.28 / $1,245.00 / $1,245.00	Professional		$1,225.28	$1,245.00	$1,245.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,396.89 / $1,777.86	Professional		$1,269.90	$1,396.89	$1,777.86