Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.62 / $363.00 / $2,162.40	Facility		$99.62	$363.00	$2,162.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $99.62 / $102.07	Professional		$86.09	$99.62	$102.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.58 / $303.13 / $707.79	Facility		$257.58	$303.13	$707.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $101.78 / $120.26	Professional		$62.64	$101.78	$120.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.67 / $654.67 / $675.95	Facility		$289.67	$654.67	$675.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $82.33 / $204.38	Professional		$59.04	$82.33	$204.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $212.52 / $278.29 / $704.34	Professional		$212.52	$278.29	$704.34
United Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $93.95 / $93.95	Professional		$65.77	$93.95	$93.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $110.21 / $162.01	Professional		$91.84	$110.21	$162.01