Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $31.20 / $55.72	Facility		$27.86	$31.20	$55.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $27.86	Professional		$25.59	$25.59	$27.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $38.39 / $105.32	Facility		$30.59	$38.39	$105.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $27.86	Professional		$25.59	$25.59	$27.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $25.59 / $25.59	Facility		$24.14	$25.59	$25.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $42.61 / $78.98	Professional		$34.72	$42.61	$78.98
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $35.36 / $53.41	Professional		$30.17	$35.36	$53.41