Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $147.00 / $176.40	Facility		$147.00	$147.00	$176.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $114.06 / $147.00	Professional		$62.95	$114.06	$147.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.29 / $141.29 / $167.49	Facility		$141.29	$141.29	$167.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $119.07 / $124.95	Professional		$119.07	$119.07	$124.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $142.55	Professional		$97.62	$97.62	$142.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $211.38 / $211.38 / $652.41	Professional		$211.38	$211.38	$652.41
United Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $130.24 / $154.65	Professional		$73.50	$130.24	$154.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $172.10 / $206.52 / $303.58	Professional		$172.10	$206.52	$303.58