Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $14.32 / $14.32	Facility		$14.32	$14.32	$14.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $16.19 / $125.08	Professional		$13.72	$16.19	$125.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $43.90 / $56.88	Professional		$29.47	$43.90	$56.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.56 / $29.42	Professional		$19.00	$25.56	$29.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $153.51 / $343.03	Professional		$91.65	$153.51	$343.03
Optum Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $26.32 / $29.27	Professional		$23.82	$26.32	$29.27
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $122.20 / $275.08	Professional		$23.82	$122.20	$275.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00