Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $94.16 / $5,411.20	Facility		$78.37	$94.16	$5,411.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $87.89	Professional		$78.37	$78.37	$87.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.41 / $122.26 / $322.56	Facility		$92.41	$122.26	$322.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $78.47	Professional		$78.37	$78.37	$78.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $78.37 / $78.37	Facility		$73.93	$78.37	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $78.37	Professional		$78.37	$78.37	$78.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $131.32	Professional		$78.37	$78.37	$131.32
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $85.32	Professional		$78.37	$78.37	$85.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $60.59 / $89.06	Professional		$50.49	$60.59	$89.06