Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.63 / $132.75 / $132.75	Facility		$57.63	$132.75	$132.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $36.47 / $40.98	Professional		$27.99	$36.47	$40.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.40 / $194.04 / $215.55	Facility		$154.40	$194.04	$215.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $53.19 / $75.22	Professional		$36.22	$53.19	$75.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.85 / $195.54 / $521.64	Facility		$138.85	$195.54	$521.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $75.43 / $115.61	Professional		$48.34	$75.43	$115.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $73.70 / $136.61	Professional		$41.47	$73.70	$136.61
United Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $50.78 / $165.35	Professional		$37.29	$50.78	$165.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $31.65 / $40.28	Professional		$28.77	$31.65	$40.28