Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $142.86	Facility		$127.55	$127.55	$142.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $127.55 / $127.55	Professional		$127.54	$127.55	$127.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.53 / $180.09 / $494.14	Facility		$143.53	$180.09	$494.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $122.46 / $122.46	Professional		$122.46	$122.46	$122.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $202.83 / $376.00	Professional		$165.33	$202.83	$376.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $134.99 / $138.07	Professional		$120.06	$134.99	$138.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $125.75 / $189.91	Professional		$107.66	$125.75	$189.91