Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.39 / $1,165.39 / $1,398.47	Facility		$1,165.39	$1,165.39	$1,398.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,398.47	Professional		$1,172.56	$1,172.56	$1,398.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.19 / $1,172.56 / $1,172.56	Facility		$1,106.19	$1,172.56	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,701.85	Professional		$1,172.56	$1,172.56	$1,701.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $504.90 / $642.60	Professional		$459.00	$504.90	$642.60