Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Facility		$107.15	$107.15	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $186.21	Professional		$83.18	$102.33	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $208.93 / $239.88	Facility		$194.98	$208.93	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $141.25	Facility		$123.03	$123.03	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $123.03	Professional		$91.20	$91.20	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $295.12	Professional		$169.82	$169.82	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $114.82	Facility		$58.88	$100.00	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $169.82	Professional		$72.44	$95.50	$169.82
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $275.42	Facility		$173.78	$173.78	$275.42