Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.79 / $568.79 / $568.79	Facility		$568.79	$568.79	$568.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $84.49	Professional		$84.48	$84.49	$84.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.02 / $124.25 / $340.91	Facility		$99.02	$124.25	$340.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $84.49 / $84.49	Professional		$82.83	$84.49	$84.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $137.21 / $260.77	Professional		$88.65	$137.21	$260.77
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $82.83 / $130.53	Professional		$82.83	$82.83	$130.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $107.47 / $147.91	Professional		$85.91	$107.47	$147.91