Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $6.74 / $12.04	Facility		$6.02	$6.74	$12.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $5.77 / $6.02	Professional		$5.76	$5.77	$6.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $10.39 / $26.18	Facility		$6.88	$10.39	$26.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $6.02	Professional		$5.77	$5.77	$6.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.77 / $5.77	Facility		$5.45	$5.77	$5.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $9.36 / $17.80	Professional		$6.05	$9.36	$17.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $10.81 / $3,000.00	Professional		$8.81	$10.81	$3,000.00