Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $107.15	Facility		$89.13	$89.13	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $107.15	Professional		$48.98	$75.86	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $128.82	Facility		$104.71	$112.20	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $87.10	Professional		$83.18	$83.18	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $114.82	Facility		$75.86	$75.86	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $75.86	Professional		$56.23	$56.23	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $158.49	Professional		$89.13	$89.13	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $70.79 / $83.18	Facility		$44.67	$70.79	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $112.20	Professional		$52.48	$77.62	$112.20
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $147.91	Facility		$91.20	$91.20	$147.91