Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,713.18 / $1,713.18 / $2,055.82	Facility		$1,713.18	$1,713.18	$2,055.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,713.18	Professional		$1,393.12	$1,393.12	$1,713.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.26 / $1,393.12 / $1,393.12	Facility		$1,314.26	$1,393.12	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,021.97	Professional		$1,393.12	$1,393.12	$2,021.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,989.86	Professional		$1,393.12	$1,393.12	$1,989.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00