Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $195.92 / $557.27	Facility		$89.16	$195.92	$557.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $109.81 / $125.52	Professional		$109.81	$109.81	$125.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.35 / $192.63 / $410.98	Facility		$173.35	$192.63	$410.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $51.74 / $61.14	Professional		$6.00	$51.74	$61.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.64 / $181.64 / $249.95	Facility		$181.64	$181.64	$249.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $91.48 / $114.35	Professional		$91.48	$91.48	$114.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $141.47 / $345.34	Professional		$108.05	$141.47	$345.34
United Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $65.89 / $88.37	Professional		$46.12	$65.89	$88.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $115.87 / $147.47	Professional		$105.34	$115.87	$147.47