Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $64.08 / $65.70	Facility		$53.40	$64.08	$65.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $57.51 / $59.81	Professional		$53.40	$57.51	$59.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $86.27 / $115.02	Facility		$68.75	$86.27	$115.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $57.51 / $57.51	Facility		$54.25	$57.51	$57.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $101.00	Professional		$57.51	$57.51	$101.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $61.84	Professional		$57.51	$57.51	$61.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $6.77 / $10.23	Professional		$5.58	$6.77	$10.23