Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.75 / $15.48	Facility		$4.79	$5.75	$15.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $7.19 / $19.71	Facility		$5.73	$7.19	$19.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.79 / $4.79	Facility		$4.51	$4.79	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $7.98 / $14.78	Professional		$6.50	$7.98	$14.78
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $17.71 / $27.05	Professional		$14.86	$17.71	$27.05