Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $16.20 / $28.92	Facility		$14.46	$16.20	$28.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.22 / $16.22	Professional		$16.20	$16.22	$16.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $24.33 / $66.76	Facility		$19.39	$24.33	$66.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $16.22 / $16.22	Professional		$14.46	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.22 / $16.22	Facility		$15.30	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $27.01 / $53.43	Professional		$16.22	$27.01	$53.43
United Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.22 / $16.22	Professional		$13.79	$16.22	$16.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $87.19 / $110.96	Professional		$79.26	$87.19	$110.96