Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $234.42	Professional		$75.86	$87.10	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $123.03	Professional		$81.28	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $218.78	Professional		$91.20	$123.03	$218.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $213.80	Professional		$89.13	$141.25	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $229.09	Professional		$89.13	$128.82	$229.09
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $100.00	Facility		$60.26	$60.26	$100.00