Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.41 / $117.41 / $140.88	Facility		$117.41	$117.41	$140.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $110.04 / $140.43	Professional		$91.10	$110.04	$140.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.50 / $208.50 / $247.16	Facility		$208.50	$208.50	$247.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $137.44 / $137.44	Professional		$133.06	$137.44	$137.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Facility		$175.58	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $175.58	Professional		$128.16	$128.16	$175.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $168.82 / $168.82 / $521.05	Professional		$168.82	$168.82	$521.05
United Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $104.02 / $175.26	Professional		$69.34	$104.02	$175.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $171.78 / $218.62	Professional		$156.16	$171.78	$218.62