Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $27.85 / $13,481.92	Facility		$26.50	$27.85	$13,481.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $47.33 / $121.68	Facility		$32.84	$47.33	$121.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $27.85 / $27.85	Professional		$26.50	$27.85	$27.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $27.85 / $27.85	Facility		$22.17	$27.85	$27.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $45.23 / $85.96	Professional		$29.22	$45.23	$85.96
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $29.52	Professional		$27.85	$27.85	$29.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $100.61 / $3,000.00	Professional		$80.43	$100.61	$3,000.00