Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.65 / $53.65 / $53.65	Facility		$53.65	$53.65	$53.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $53.65 / $53.65	Professional		$13.33	$53.65	$53.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.30 / $75.90 / $161.93	Facility		$68.30	$75.90	$161.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $25.26	Professional		$7.20	$7.20	$25.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $102.49 / $186.47	Facility		$2.52	$102.49	$186.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $19.13 / $28.91	Professional		$10.59	$19.13	$28.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $29.86 / $59.77	Professional		$22.80	$29.86	$59.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $27.08 / $27.08	Professional		$12.32	$27.08	$27.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $18.41 / $26.74	Professional		$15.16	$18.41	$26.74