Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $48.05 / $48.05	Facility		$48.05	$48.05	$48.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Professional		$42.90	$42.90	$42.90
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 $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $77.87 / $148.00	Professional		$50.31	$77.87	$148.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $50.47 / $58.04	Professional		$50.47	$50.47	$58.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $47.19 / $60.06	Professional		$42.90	$47.19	$60.06