Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $62.15 / $124.30	Facility		$62.15	$62.15	$124.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $61.80 / $62.15	Professional		$61.79	$61.80	$62.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $111.24 / $280.35	Facility		$73.66	$111.24	$280.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $62.15	Professional		$61.80	$61.80	$62.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $61.80 / $61.80	Facility		$55.28	$61.80	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $100.36 / $190.75	Professional		$64.84	$100.36	$190.75
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $230.52 / $269.25 / $3,500.00	Professional		$230.52	$269.25	$3,500.00