Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $67.61	Facility		$56.23	$56.23	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $87.10	Professional		$40.74	$52.48	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $109.65 / $125.89	Facility		$102.33	$109.65	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $69.18	Professional		$51.29	$51.29	$69.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $151.36	Professional		$87.10	$87.10	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $45.71 / $53.70	Facility		$28.18	$45.71	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $87.10	Professional		$34.67	$50.12	$87.10
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $144.54	Facility		$89.13	$89.13	$144.54