Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $27.94	Facility		$24.95	$24.95	$27.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Facility		$27.68	$27.68	$27.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $40.52 / $77.01	Professional		$26.18	$40.52	$77.01
United Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $33.75	Professional		$29.35	$29.35	$33.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $27.45 / $34.93	Professional		$24.95	$27.45	$34.93