Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $93.51	Facility		$75.98	$75.98	$93.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.06 / $111.75 / $306.63	Facility		$89.06	$111.75	$306.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $75.98 / $75.98	Professional		$74.50	$75.98	$75.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $123.41 / $234.54	Professional		$79.73	$123.41	$234.54
United Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Professional		$74.50	$74.50	$74.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $83.59 / $106.39	Professional		$75.98	$83.59	$106.39