Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $231.73 / $1,410.50	Facility		$161.00	$231.73	$1,410.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $191.95 / $191.95	Professional		$157.16	$191.95	$191.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.47 / $390.06 / $1,003.33	Facility		$331.47	$390.06	$1,003.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $130.97 / $130.97	Professional		$80.59	$130.97	$130.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.77 / $858.18 / $1,073.75	Facility		$372.77	$858.18	$1,073.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.44 / $393.45 / $836.77	Professional		$104.44	$393.45	$836.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $292.45 / $716.92	Professional		$201.50	$292.45	$716.92
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $120.90 / $201.50	Professional		$84.63	$120.90	$201.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $227.91 / $324.22	Professional		$183.80	$227.91	$324.22