Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $87.63 / $105.16	Facility		$87.63	$87.63	$105.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $68.00 / $94.46	Professional		$55.62	$68.00	$94.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $155.63 / $184.48	Facility		$155.63	$155.63	$184.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $79.04 / $84.19	Professional		$79.04	$79.04	$84.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $75.42 / $110.15	Professional		$75.42	$75.42	$110.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $388.90	Professional		$126.00	$126.00	$388.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $77.64 / $92.19	Professional		$51.76	$77.64	$92.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $101.69 / $111.86 / $142.37	Professional		$101.69	$111.86	$142.37