Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $29.53 / $112.98	Facility		$13.00	$29.53	$112.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $13.68 / $13.68	Professional		$11.43	$13.68	$13.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $23.23 / $54.24	Facility		$19.73	$23.23	$54.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $7.80 / $9.21	Professional		$4.80	$7.80	$9.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $60.53 / $81.40	Facility		$27.38	$60.53	$81.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $8.69 / $17.04	Professional		$6.14	$8.69	$17.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $21.33 / $43.70	Professional		$16.29	$21.33	$43.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.20 / $10.07	Professional		$5.04	$7.20	$10.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $14.77 / $20.72	Professional		$10.94	$14.77	$20.72