Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,174.90 / $1,412.54	Facility		$131.83	$1,174.90	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,479.11	Professional		$1,174.90	$1,174.90	$1,479.11
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 $1,096.48 / $1,174.90 / $1,174.90	Facility		$1,096.48	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,905.46	Professional		$1,174.90	$1,174.90	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,122.02 / $1,174.90	Professional		$125.89	$1,122.02	$1,174.90
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,819.70	Facility		$1,122.02	$1,122.02	$1,819.70