Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $355.89 / $1,012.27	Facility		$142.06	$355.89	$1,012.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $118.73 / $142.07	Professional		$112.80	$118.73	$142.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.88 / $279.94 / $720.06	Facility		$237.88	$279.94	$720.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $93.99 / $94.00	Professional		$57.84	$93.99	$94.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.52 / $615.89 / $872.03	Facility		$267.52	$615.89	$872.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $282.77 / $601.38	Professional		$74.95	$282.77	$601.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $275.51 / $514.51	Professional		$151.07	$275.51	$514.51
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $144.61 / $174.14	Professional		$86.77	$144.61	$174.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $147.81 / $215.35	Professional		$113.70	$147.81	$215.35