Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $18.17 / $21.74	Facility		$17.67	$18.17	$21.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $27.26 / $74.78	Facility		$21.72	$27.26	$74.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $18.17 / $18.17	Professional		$17.67	$18.17	$18.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $18.17 / $18.17	Facility		$17.14	$18.17	$18.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $30.25 / $56.08	Professional		$24.66	$30.25	$56.08
United Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $31.52 / $51.12	Professional		$0.02	$31.52	$51.12