Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $213.80	Facility		$131.83	$177.83	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $208.93	Professional		$165.96	$177.83	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $288.40	Professional		$177.83	$177.83	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $204.17	Professional		$125.89	$177.83	$204.17
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $281.84	Facility		$177.83	$177.83	$281.84