Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,513.56	Facility		$1,258.93	$1,258.93	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,479.11	Professional		$1,202.26	$1,258.93	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,445.44	Professional		$1,258.93	$1,258.93	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $549.54	Professional		$288.40	$288.40	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,258.93 / $1,258.93	Professional		$288.40	$1,258.93	$1,258.93
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,041.74	Facility		$1,258.93	$1,258.93	$2,041.74