Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $93.76 / $103.15	Facility		$40.00	$93.76	$103.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $44.11 / $62.15	Professional		$25.00	$44.11	$62.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $31.13 / $44.49	Professional		$24.37	$31.13	$44.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $39.00 / $68.98	Professional		$30.00	$39.00	$68.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $50.14 / $104.02	Professional		$30.64	$50.14	$104.02
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $41.25 / $57.84	Professional		$30.76	$41.25	$57.84
United Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $44.00 / $64.87	Professional		$32.29	$44.00	$64.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $28.02 / $33.61	Professional		$22.23	$28.02	$33.61