Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $51.85	Facility		$42.14	$42.14	$51.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $74.36 / $157.78	Facility		$49.22	$74.36	$157.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $42.14 / $42.14	Professional		$41.31	$42.14	$42.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $56.48 / $107.35	Professional		$36.49	$56.48	$107.35
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $41.31	Professional		$41.31	$41.31	$41.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $36.82 / $46.86	Professional		$33.47	$36.82	$46.86