Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $120.23	Facility		$100.00	$100.00	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $120.23	Professional		$57.54	$85.11	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $190.55 / $218.78	Facility		$181.97	$190.55	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $81.28	Professional		$79.43	$79.43	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Facility		$107.15	$107.15	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $107.15	Professional		$77.62	$77.62	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $269.15	Professional		$154.88	$154.88	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $69.18 / $870.96	Facility		$40.74	$69.18	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $154.88	Professional		$58.88	$89.13	$154.88
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $251.19	Facility		$158.49	$158.49	$251.19