Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,353.19	Facility		$1,961.00	$1,961.00	$2,353.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,353.19	Professional		$1,961.00	$1,961.00	$2,353.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $1,961.00 / $1,961.00	Facility		$1,850.00	$1,961.00	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,846.20	Professional		$1,961.00	$1,961.00	$2,846.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,040.54	Professional		$1,961.00	$1,961.00	$2,040.54
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