Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.32 / $217.64 / $388.64	Facility		$194.32	$217.64	$388.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $294.69 / $294.69	Professional		$217.64	$294.69	$294.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.24 / $530.44 / $1,336.83	Facility		$351.24	$530.44	$1,336.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $294.69 / $294.69	Professional		$194.32	$294.69	$294.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $294.69 / $294.69	Facility		$278.01	$294.69	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $399.95 / $490.66 / $909.56	Professional		$399.95	$490.66	$909.56
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $218.63 / $335.35	Professional		$9.52	$218.63	$335.35