Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $369.15 / $1,050.00	Facility		$168.00	$369.15	$1,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $209.72	Professional		$100.00	$100.00	$209.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.75 / $290.37 / $746.90	Facility		$246.75	$290.37	$746.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $97.50 / $97.50	Professional		$60.00	$97.50	$97.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.49 / $596.21 / $658.03	Facility		$277.49	$596.21	$658.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $293.01 / $623.15	Professional		$77.76	$293.01	$623.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $217.71 / $494.12	Professional		$150.00	$217.71	$494.12
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $150.00	Professional		$63.00	$90.00	$150.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $130.83 / $2,500.00	Professional		$112.01	$130.83	$2,500.00