Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $201.51 / $573.16	Facility		$91.71	$201.51	$573.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $76.50 / $76.50	Professional		$65.45	$76.50	$76.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.69 / $158.50 / $370.10	Facility		$134.69	$158.50	$370.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $53.22 / $62.88	Professional		$32.75	$53.22	$62.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.46 / $349.87 / $368.28	Facility		$151.46	$349.87	$368.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $49.74 / $117.71	Professional		$42.48	$49.74	$117.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $145.52 / $291.32	Professional		$111.13	$145.52	$291.32
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $49.13 / $56.66	Professional		$34.39	$49.13	$56.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $85.23 / $3,000.00	Professional		$63.13	$85.23	$3,000.00