Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Facility		$194.98	$194.98	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $234.42	Professional		$114.82	$169.82	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $371.54 / $426.58	Facility		$354.81	$371.54	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $162.18	Professional		$154.88	$154.88	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $251.19	Facility		$162.18	$162.18	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $162.18	Professional		$117.49	$117.49	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $524.81	Professional		$302.00	$302.00	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $169.82 / $194.98	Facility		$79.43	$169.82	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $302.00	Professional		$128.82	$186.21	$302.00
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $489.78	Facility		$309.03	$309.03	$489.78