Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.66 / $45.82	Facility		$22.91	$25.66	$45.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $22.91	Professional		$19.32	$19.32	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $29.00 / $79.56	Facility		$23.11	$29.00	$79.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $22.91	Professional		$19.32	$19.32	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $19.32 / $19.32	Facility		$18.23	$19.32	$19.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $32.18 / $59.66	Professional		$26.23	$32.18	$59.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $20.53 / $31.49	Professional		$4.36	$20.53	$31.49