Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $7.54 / $13.46	Facility		$6.73	$7.54	$13.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $12.11 / $30.53	Facility		$8.02	$12.11	$30.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.73 / $6.73	Facility		$6.35	$6.73	$6.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.93 / $20.77	Professional		$7.06	$10.93	$20.77
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $2,500.00 / $3,100.00	Professional		$6.10	$2,500.00	$3,100.00