Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,412.54 / $1,698.24	Facility		$131.83	$1,412.54	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,778.28	Professional		$1,412.54	$1,412.54	$1,778.28
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 $1,348.96 / $1,412.54 / $1,412.54	Facility		$1,348.96	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,344.23	Professional		$1,412.54	$1,412.54	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,412.54 / $1,445.44	Professional		$125.89	$1,412.54	$1,445.44
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,344.23	Facility		$1,479.11	$1,479.11	$2,344.23