Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $139.97 / $167.98	Facility		$139.97	$139.97	$167.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $108.62 / $140.12	Professional		$89.47	$108.62	$140.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.59 / $248.59 / $294.68	Facility		$248.59	$248.59	$294.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $111.76 / $118.98	Professional		$111.76	$111.76	$118.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $116.51	Facility		$116.51	$116.51	$116.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $85.05 / $116.51	Professional		$85.05	$85.05	$116.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $201.28 / $201.28 / $621.25	Professional		$201.28	$201.28	$621.25
United Facility/Professional Facility Modifier Low / Median / High Price $57.34 / $96.79 / $108.52	Facility		$57.34	$96.79	$108.52
United Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $124.02 / $132.88	Professional		$82.68	$124.02	$132.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $204.81 / $260.67	Professional		$186.19	$204.81	$260.67