Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $20.43 / $69.50	Facility		$19.00	$20.43	$69.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.59 / $38.00 / $101.39	Facility		$23.59	$38.00	$101.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Facility		$22.10	$22.10	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $36.29 / $68.98	Professional		$23.45	$36.29	$68.98
United Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $22.35 / $25.70	Professional		$20.94	$22.35	$25.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $25.28 / $3,000.00	Professional		$20.21	$25.28	$3,000.00