Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.64 / $167.64 / $201.17	Facility		$167.64	$167.64	$201.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $132.96 / $167.64	Professional		$130.09	$132.96	$167.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.74 / $297.74 / $352.94	Facility		$297.74	$297.74	$352.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $164.70 / $173.90	Professional		$164.70	$164.70	$173.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $170.29	Facility		$170.29	$170.29	$170.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $175.40	Professional		$144.75	$144.75	$175.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $241.06 / $241.06 / $744.03	Professional		$241.06	$241.06	$744.03
United Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $148.54 / $204.79	Professional		$99.02	$148.54	$204.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $215.91 / $274.79	Professional		$196.28	$215.91	$274.79