Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $5.47 / $16.53	Professional		$5.47	$5.47	$16.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $2.72 / $3.17	Facility		$1.31	$2.72	$3.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $30.46	Professional		$12.46	$12.46	$30.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $24.53 / $69.59	Professional		$18.73	$24.53	$69.59
United Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $15.12 / $25.12	Professional		$11.52	$15.12	$25.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $3,000.00 / $4,410.00	Professional		$2,500.00	$3,000.00	$4,410.00