Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $95.50	Facility		$81.28	$81.28	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $125.89	Professional		$57.54	$75.86	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $154.88 / $177.83	Facility		$144.54	$154.88	$177.83
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 $81.28 / $81.28 / $104.71	Facility		$81.28	$81.28	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Professional		$60.26	$60.26	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $218.78	Professional		$125.89	$125.89	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $67.61 / $104.71	Facility		$39.81	$67.61	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $125.89	Professional		$48.98	$70.79	$125.89
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $204.17	Facility		$128.82	$128.82	$204.17