Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $98.54 / $1,853.59	Facility		$98.54	$98.54	$1,853.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $118.25	Professional		$101.03	$101.03	$118.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $363.71 / $458.31	Facility		$115.17	$363.71	$458.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $101.03 / $101.03	Facility		$95.31	$101.03	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $146.63	Professional		$101.03	$101.03	$146.63
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $214.82	Professional		$101.03	$101.03	$214.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $192.84 / $241.23 / $3,375.00	Professional		$192.84	$241.23	$3,375.00