Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.26 / $130.26 / $156.31	Facility		$130.26	$130.26	$156.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $133.38	Professional		$111.15	$111.15	$133.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $111.15 / $111.15	Facility		$104.86	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $161.32	Professional		$111.15	$111.15	$161.32
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $266.76	Professional		$111.15	$111.15	$266.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $402.90 / $443.19 / $564.05	Professional		$402.90	$443.19	$564.05