Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.52 / $112.52 / $135.02	Facility		$112.52	$112.52	$135.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $89.24 / $119.90	Professional		$87.31	$89.24	$119.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.83 / $199.83 / $236.88	Facility		$199.83	$199.83	$236.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $122.08 / $127.52	Professional		$122.08	$122.08	$127.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $172.35	Facility		$172.35	$172.35	$172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $172.35	Professional		$125.82	$125.82	$172.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $499.36	Professional		$161.79	$161.79	$499.36
United Facility/Professional Facility Modifier Low / Median / High Price $61.45 / $136.68 / $149.54	Facility		$61.45	$136.68	$149.54
United Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $99.69 / $159.22	Professional		$66.45	$99.69	$159.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $164.64 / $209.54	Professional		$149.66	$164.64	$209.54