Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $15.92 / $28.42	Facility		$14.21	$15.92	$28.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $25.61 / $64.55	Facility		$16.96	$25.61	$64.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $14.23 / $14.23	Professional		$14.21	$14.23	$14.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $14.23 / $14.23	Facility		$13.43	$14.23	$14.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $23.11 / $43.92	Professional		$14.93	$23.11	$43.92
United Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $15.94 / $15.94	Professional		$14.23	$15.94	$15.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $2,920.00 / $3,000.00	Professional		$2,750.00	$2,920.00	$3,000.00