Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $281.61 / $801.01	Facility		$128.16	$281.61	$801.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $92.69 / $92.69	Professional		$80.09	$92.69	$92.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.24 / $209.18 / $446.28	Facility		$188.24	$209.18	$446.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $74.37 / $87.88	Professional		$31.92	$74.37	$87.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.63 / $417.76 / $501.99	Facility		$206.63	$417.76	$501.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $164.68	Professional		$131.75	$131.75	$164.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $203.36 / $407.13	Professional		$155.30	$203.36	$407.13
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $114.43	Professional		$48.06	$68.66	$114.43
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