Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $100.30 / $100.30	Facility		$48.33	$100.30	$100.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $30.59 / $82.00	Professional		$21.26	$30.59	$82.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $162.63 / $180.66	Facility		$129.41	$162.63	$180.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $44.64 / $63.12	Professional		$30.41	$44.64	$63.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.29 / $157.60 / $640.01	Facility		$112.29	$157.60	$640.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $57.17 / $96.92	Professional		$39.24	$57.17	$96.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $61.86 / $114.67	Professional		$34.81	$61.86	$114.67
United Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $39.35 / $71.45	Professional		$30.68	$39.35	$71.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $28.21 / $42.60	Professional		$23.79	$28.21	$42.60