Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.46 / $941.46 / $1,129.75	Facility		$941.46	$941.46	$1,129.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $941.46	Professional		$713.50	$713.50	$941.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $713.50 / $713.50	Facility		$673.11	$713.50	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,035.57	Professional		$713.50	$713.50	$1,035.57
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,241.83	Professional		$713.50	$713.50	$1,241.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $2,920.00 / $3,000.00	Professional		$2,750.00	$2,920.00	$3,000.00