Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $17.86 / $21.43	Facility		$17.86	$17.86	$21.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $17.86 / $17.86	Professional		$17.86	$17.86	$17.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $28.15 / $57.29	Professional		$18.55	$28.15	$57.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $21.01	Professional		$21.01	$21.01	$21.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $20.54 / $31.51	Professional		$14.88	$20.54	$31.51