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 $18.00 / $19.57 / $24.41	Professional		$18.00	$19.57	$24.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.40 / $18.26	Professional		$4.47	$5.40	$18.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $26.40 / $38.97	Professional		$20.00	$26.40	$38.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $42.24 / $84.33	Professional		$23.77	$42.24	$84.33
Optum Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $9.67	Professional		$9.67	$9.67	$9.67
United Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $34.38 / $71.04	Professional		$24.21	$34.38	$71.04
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