Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $27.84	Facility		$24.86	$24.86	$27.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $24.86 / $24.86	Professional		$24.85	$24.86	$24.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $47.24 / $126.07	Facility		$29.29	$47.24	$126.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $25.01 / $25.01	Professional		$25.01	$25.01	$25.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Facility		$27.44	$27.44	$27.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $45.13 / $85.77	Professional		$29.16	$45.13	$85.77
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $31.96	Professional		$27.79	$27.79	$31.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $33.09 / $3,000.00	Professional		$26.46	$33.09	$3,000.00