Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $7,972.20	Facility		$150.33	$150.33	$7,972.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $180.40	Professional		$151.16	$151.16	$180.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Professional		$151.16	$151.16	$151.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $151.16 / $151.16	Facility		$142.61	$151.16	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Professional		$151.16	$151.16	$151.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $219.41	Professional		$151.16	$151.16	$219.41
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $325.41	Professional		$151.16	$151.16	$325.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $340.68 / $459.92 / $3,375.00	Professional		$340.68	$459.92	$3,375.00