Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.19 / $173.19 / $207.83	Facility		$173.19	$173.19	$207.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $134.38 / $184.08	Professional		$109.68	$134.38	$184.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.57 / $307.57 / $364.59	Facility		$307.57	$307.57	$364.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $170.08	Professional		$125.00	$125.00	$170.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $191.33	Facility		$175.81	$175.81	$191.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $187.43	Professional		$128.34	$128.34	$187.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $249.02 / $249.02 / $768.60	Professional		$249.02	$249.02	$768.60
United Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $153.44 / $182.20	Professional		$102.30	$153.44	$182.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $200.95 / $241.14 / $354.48	Professional		$200.95	$241.14	$354.48