Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $245.28 / $245.28	Facility		$129.47	$245.28	$245.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $74.19 / $94.86	Professional		$63.14	$74.19	$94.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.75 / $435.77 / $484.09	Facility		$346.75	$435.77	$484.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $119.67 / $167.78	Professional		$81.51	$119.67	$167.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.89 / $378.76 / $519.30	Facility		$252.89	$378.76	$519.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $152.79 / $262.64	Professional		$98.99	$152.79	$262.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $153.51 / $288.02	Professional		$88.28	$153.51	$288.02
United Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $114.71 / $200.66	Professional		$82.40	$114.71	$200.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $73.28 / $93.27	Professional		$66.62	$73.28	$93.27