Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $248.86 / $707.84	Facility		$113.25	$248.86	$707.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $158.90 / $158.90	Professional		$78.87	$158.90	$158.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.34 / $195.75 / $503.51	Facility		$166.34	$195.75	$503.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $65.72 / $65.73	Professional		$40.45	$65.72	$65.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.07 / $401.77 / $441.16	Facility		$187.07	$401.77	$441.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $197.68 / $420.42	Professional		$52.31	$197.68	$420.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $146.77 / $333.10	Professional		$101.12	$146.77	$333.10
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $60.67 / $101.12	Professional		$42.47	$60.67	$101.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $105.71 / $3,375.00	Professional		$83.06	$105.71	$3,375.00