Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $128.82	Facility		$109.65	$109.65	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $194.98	Professional		$74.13	$93.33	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $208.93 / $239.88	Facility		$194.98	$208.93	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $141.25	Facility		$117.49	$117.49	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $117.49	Professional		$85.11	$85.11	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $295.12	Professional		$169.82	$169.82	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $104.71	Facility		$54.95	$89.13	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $169.82	Professional		$67.61	$95.50	$169.82
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $239.88	Facility		$151.36	$151.36	$239.88