Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.13 / $138.13 / $169.97	Facility		$138.13	$138.13	$169.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $138.13 / $138.13	Professional		$138.13	$138.13	$138.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $229.44 / $425.32	Professional		$187.02	$229.44	$425.32
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $332.96	Professional		$332.96	$332.96	$332.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $151.94 / $193.38	Professional		$138.13	$151.94	$193.38