Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.18 / $91.42 / $93.74	Facility		$76.18	$91.42	$93.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $80.25	Professional		$75.03	$75.03	$80.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.48 / $117.03 / $308.81	Facility		$88.48	$117.03	$308.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $76.18	Professional		$75.03	$75.03	$76.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $75.02 / $75.02	Facility		$70.78	$75.02	$75.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $75.02	Professional		$75.02	$75.02	$75.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $125.73	Professional		$75.03	$75.03	$125.73
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $82.53	Professional		$75.03	$75.03	$82.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $84.49 / $124.20	Professional		$70.41	$84.49	$124.20