Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.37 / $369.96 / $1,063.75	Facility		$168.37	$369.96	$1,063.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $105.23 / $121.77	Professional		$105.23	$105.23	$121.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.29 / $291.01 / $748.54	Facility		$247.29	$291.01	$748.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $97.71 / $97.71	Professional		$60.13	$97.71	$97.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.44 / $549.44 / $659.44	Facility		$271.44	$549.44	$659.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $238.95 / $624.51	Professional		$77.94	$238.95	$624.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $218.19 / $495.20	Professional		$150.33	$218.19	$495.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $150.33	Professional		$63.14	$90.20	$150.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $134.69 / $195.95	Professional		$111.08	$134.69	$195.95