Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $208.00 / $249.60	Facility		$208.00	$208.00	$249.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $208.00 / $790.00	Professional		$152.03	$208.00	$790.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.41 / $369.41 / $437.90	Facility		$369.41	$369.41	$437.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $221.34 / $221.34	Professional		$75.00	$221.34	$221.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $211.27	Professional		$154.22	$154.22	$211.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $299.10 / $299.10 / $923.17	Professional		$299.10	$299.10	$923.17
United Facility/Professional Professional Modifier Low / Median / High Price $122.86 / $184.30 / $299.10	Professional		$122.86	$184.30	$299.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $324.85 / $488.06	Professional		$276.68	$324.85	$488.06