Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,926.60	Facility		$4,105.50	$4,105.50	$4,926.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,912.30 / $4,105.50 / $4,105.50	Professional		$3,912.30	$4,105.50	$4,105.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,968.00 / $2,968.00 / $2,968.00	Professional		$2,968.00	$2,968.00	$2,968.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,968.00 / $2,968.00 / $4,307.76	Professional		$2,968.00	$2,968.00	$4,307.76
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $4,200.00 / $4,200.00	Professional		$3,570.00	$4,200.00	$4,200.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,516.05 / $5,747.70	Professional		$4,105.50	$4,516.05	$5,747.70