Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $79.80 / $79.80	Facility		$47.64	$79.80	$79.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $47.64 / $47.64	Professional		$47.64	$47.64	$47.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $67.09 / $184.10	Facility		$53.47	$67.09	$184.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $45.62 / $45.62	Professional		$45.50	$45.62	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Facility		$50.10	$50.10	$50.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $75.76 / $140.44	Professional		$61.75	$75.76	$140.44
United Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $44.73 / $53.53	Professional		$44.73	$44.73	$53.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.30 / $69.48	Professional		$34.67	$45.30	$69.48