Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $29.66 / $84.35	Facility		$13.50	$29.66	$84.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $9.76 / $9.76	Professional		$8.44	$9.76	$9.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $23.33 / $54.47	Facility		$19.82	$23.33	$54.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $7.83 / $9.25	Professional		$4.82	$7.83	$9.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.75 / $44.29 / $52.84	Facility		$21.75	$44.29	$52.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.75 / $17.04	Professional		$6.32	$6.75	$17.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $21.42 / $42.87	Professional		$16.35	$21.42	$42.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.23 / $7.23	Professional		$5.05	$7.23	$7.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $10.68 / $3,500.00	Professional		$8.90	$10.68	$3,500.00