Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $19.57 / $25.00	Professional		$18.50	$19.57	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $23.04 / $41.97	Professional		$16.43	$23.04	$41.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $30.09 / $42.79	Professional		$21.00	$30.09	$42.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $49.70 / $99.20	Professional		$27.97	$49.70	$99.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $22.42 / $22.42	Professional		$22.42	$22.42	$22.42
United Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $53.72 / $99.89	Professional		$37.52	$53.72	$99.89
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