Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $18.68 / $20.92	Facility		$18.68	$18.68	$20.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $18.68 / $18.68	Professional		$18.67	$18.68	$18.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $35.50 / $94.72	Facility		$22.05	$35.50	$94.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Facility		$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $33.90 / $64.45	Professional		$21.91	$33.90	$64.45
United Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $20.88 / $24.01	Professional		$20.88	$20.88	$24.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $24.51 / $3,000.00	Professional		$19.59	$24.51	$3,000.00