Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.14 / $158.51 / $450.87	Facility		$72.14	$158.51	$450.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $52.17 / $52.17	Professional		$45.09	$52.17	$52.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.95 / $117.74 / $251.20	Facility		$105.95	$117.74	$251.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $41.86 / $49.46	Professional		$25.76	$41.86	$49.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.31 / $235.82 / $282.58	Facility		$116.31	$235.82	$282.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $73.93 / $92.41	Professional		$73.93	$73.93	$92.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $114.47 / $234.63	Professional		$87.42	$114.47	$234.63
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $64.41	Professional		$27.05	$38.65	$64.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00