Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.50 / $261.50 / $313.80	Facility		$261.50	$261.50	$313.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.56 / $202.92 / $298.92	Professional		$189.56	$202.92	$298.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.40 / $464.40 / $550.50	Facility		$464.40	$464.40	$550.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.99 / $260.75 / $260.75	Professional		$248.99	$260.75	$260.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $273.14 / $273.14	Facility		$273.14	$273.14	$273.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $199.40 / $273.14	Professional		$199.40	$199.40	$273.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $376.01 / $1,160.55	Professional		$376.01	$376.01	$1,160.55
United Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $231.69 / $293.23	Professional		$154.46	$231.69	$293.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $347.84 / $382.62 / $486.98	Professional		$347.84	$382.62	$486.98