Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $3.89 / $2,231.84	Facility		$3.52	$3.89	$2,231.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.89	Professional		$3.52	$3.52	$3.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $6.34 / $15.97	Facility		$4.20	$6.34	$15.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.89	Professional		$3.52	$3.52	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.52 / $3.52	Facility		$3.32	$3.52	$3.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $5.72 / $10.86	Professional		$3.69	$5.72	$10.86
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $16.20 / $24.85	Professional		$1.87	$16.20	$24.85