Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.54 / $167.03 / $301.30	Facility		$86.54	$167.03	$301.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $123.36 / $134.94	Professional		$123.35	$123.36	$134.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.47 / $185.04 / $507.73	Facility		$147.47	$185.04	$507.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $135.97	Professional		$123.36	$123.36	$135.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $123.36 / $123.36	Facility		$116.38	$123.36	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $167.42 / $205.39 / $380.75	Professional		$167.42	$205.39	$380.75
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $118.67 / $182.03	Professional		$74.34	$118.67	$182.03