Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $58.88	Facility		$48.98	$48.98	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $75.86	Professional		$38.02	$52.48	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $95.50 / $109.65	Facility		$89.13	$95.50	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $53.70	Professional		$52.48	$52.48	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $66.07 / $66.07	Facility		$64.57	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $66.07	Professional		$48.98	$48.98	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $134.90	Professional		$77.62	$77.62	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $45.71 / $58.88	Facility		$26.92	$45.71	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $77.62	Professional		$33.11	$43.65	$77.62
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $125.89	Facility		$79.43	$79.43	$125.89