Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.53 / $251.66 / $715.82	Facility		$114.53	$251.66	$715.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $129.69 / $129.69	Professional		$79.76	$129.69	$129.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.22 / $197.95 / $509.18	Facility		$168.22	$197.95	$509.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $66.45 / $66.47	Professional		$40.90	$66.45	$66.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.17 / $406.05 / $448.61	Facility		$189.17	$406.05	$448.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $199.60 / $424.51	Professional		$53.01	$199.60	$424.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $148.41 / $336.85	Professional		$102.26	$148.41	$336.85
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $61.36 / $61.36	Professional		$42.95	$61.36	$61.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $106.90 / $3,375.00	Professional		$84.00	$106.90	$3,375.00