Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,774.77 / $3,774.77 / $4,529.72	Facility		$3,774.77	$3,774.77	$4,529.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,430.57	Professional		$3,692.14	$3,692.14	$4,430.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,483.15 / $3,692.14 / $3,692.14	Facility		$3,483.15	$3,692.14	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $5,358.77	Professional		$3,692.14	$3,692.14	$5,358.77
United Facility/Professional Professional Modifier Low / Median / High Price $3,287.24 / $3,692.14 / $8,861.14	Professional		$3,287.24	$3,692.14	$8,861.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $504.90 / $642.60	Professional		$459.00	$504.90	$642.60