Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $85.11	Facility		$70.79	$70.79	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $95.50	Professional		$38.02	$61.66	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $138.04 / $154.88	Facility		$128.82	$138.04	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $58.88	Professional		$57.54	$57.54	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $93.33	Facility		$58.88	$58.88	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $58.88	Professional		$42.66	$42.66	$58.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $190.55	Professional		$109.65	$109.65	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $54.95	Facility		$28.84	$46.77	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $109.65	Professional		$41.69	$63.10	$109.65
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $177.83	Facility		$112.20	$112.20	$177.83