Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.49 / $98.15 / $193.77	Facility		$86.49	$98.15	$193.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.16 / $98.16	Professional		$98.15	$98.16	$98.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $176.69 / $445.29	Facility		$117.00	$176.69	$445.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $75.14 / $85.65	Professional		$75.14	$75.14	$85.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $159.41 / $302.97	Professional		$102.99	$159.41	$302.97
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $86.23 / $103.33	Professional		$86.23	$86.23	$103.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $73.30 / $3,000.00	Professional		$58.60	$73.30	$3,000.00