Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $72.50 / $87.00	Facility		$72.50	$72.50	$87.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $62.35 / $72.50	Professional		$56.26	$62.35	$72.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.76 / $128.76 / $152.63	Facility		$128.76	$128.76	$152.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $78.30 / $82.17	Professional		$78.30	$78.30	$82.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $82.86	Professional		$58.73	$58.73	$82.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.25 / $104.25 / $321.77	Professional		$104.25	$104.25	$321.77
United Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $68.81 / $104.25	Professional		$48.38	$68.81	$104.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.12 / $92.53 / $117.77	Professional		$84.12	$92.53	$117.77