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 / $14.51 / $18.10	Professional		$13.72	$14.51	$18.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $23.06 / $23.68	Professional		$19.64	$23.06	$23.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $19.17 / $53.93	Professional		$12.00	$19.17	$53.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $26.48 / $52.86	Professional		$14.90	$26.48	$52.86
Optum Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $68.94 / $123.91	Professional		$44.75	$68.94	$123.91
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