Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $21.53 / $134.80	Facility		$20.90	$21.53	$134.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $25.33	Professional		$21.53	$21.53	$25.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $32.29 / $43.06	Facility		$25.74	$32.29	$43.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $21.53	Professional		$21.53	$21.53	$21.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $21.52 / $21.52	Facility		$20.30	$21.52	$21.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $21.52	Professional		$21.52	$21.52	$21.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $37.81	Professional		$21.53	$21.53	$37.81
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $24.11	Professional		$21.53	$21.53	$24.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $282.85 / $433.87	Professional		$31.30	$282.85	$433.87