Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $89.34 / $16,701.84	Facility		$58.40	$89.34	$16,701.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.48 / $160.81 / $405.28	Facility		$106.48	$160.81	$405.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $89.34 / $89.34	Professional		$58.40	$89.34	$89.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $89.34 / $89.34	Facility		$84.29	$89.34	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $145.09 / $275.75	Professional		$93.74	$145.09	$275.75
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $94.70	Professional		$89.34	$89.34	$94.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $600.08 / $750.65 / $3,000.00	Professional		$600.08	$750.65	$3,000.00