Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,047.13 / $1,258.93	Facility		$131.83	$1,047.13	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,258.93	Professional		$1,047.13	$1,047.13	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,047.13	Facility		$1,000.00	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,698.24	Professional		$1,047.13	$1,047.13	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,000.00 / $1,047.13	Professional		$125.89	$1,000.00	$1,047.13
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,348.96	Facility		$851.14	$851.14	$1,348.96