Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $114.82	Facility		$57.54	$64.57	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $61.66	Professional		$57.54	$57.54	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $251.19	Facility		$77.62	$151.36	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $64.57	Professional		$57.54	$57.54	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $57.54 / $57.54	Facility		$53.70	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $75.86	Professional		$39.81	$66.07	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $63.10	Professional		$57.54	$57.54	$63.10