Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $158.49	Facility		$131.83	$131.83	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $354.81	Professional		$95.50	$128.82	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $251.19 / $288.40	Facility		$239.88	$251.19	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $117.49	Professional		$114.82	$114.82	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $154.88	Facility		$151.36	$151.36	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $151.36	Professional		$112.20	$112.20	$151.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $354.81	Professional		$204.17	$204.17	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $123.03	Facility		$66.07	$104.71	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $204.17	Professional		$79.43	$117.49	$204.17
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $331.13	Facility		$208.93	$208.93	$331.13