Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $15.14 / $21.68	Professional		$14.68	$15.14	$21.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.37 / $272.66 / $581.72	Facility		$245.37	$272.66	$581.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $10.80	Professional		$10.80	$10.80	$10.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $77.62 / $112.88	Facility		$1.68	$77.62	$112.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $23.59 / $67.66	Professional		$9.24	$23.59	$67.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $20.74 / $58.22	Professional		$20.74	$20.74	$58.22
United Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $16.70 / $22.94	Professional		$10.26	$16.70	$22.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $3,000.00 / $4,410.00	Professional		$2,750.00	$3,000.00	$4,410.00