Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $55.44	Facility		$49.50	$49.50	$55.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $49.50 / $49.50	Professional		$49.50	$49.50	$49.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $89.10 / $224.55	Facility		$59.00	$89.10	$224.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $44.41 / $49.50	Professional		$33.15	$44.41	$49.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Facility		$48.76	$48.76	$48.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $80.39 / $152.78	Professional		$51.94	$80.39	$152.78
United Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $43.54 / $52.10	Professional		$19.68	$43.54	$52.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $23.93 / $37.77	Professional		$19.94	$23.93	$37.77