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 $19.77 / $22.63 / $41.97	Professional		$19.77	$22.63	$41.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.68 / $45.37	Professional		$20.00	$28.68	$45.37
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 $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
United Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $55.88 / $103.91	Professional		$35.34	$55.88	$103.91
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