Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $141.93 / $584.82	Facility		$13.25	$141.93	$584.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $13.26 / $13.26	Professional		$12.94	$13.26	$13.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $19.50 / $53.51	Facility		$15.54	$19.50	$53.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.26 / $13.26	Professional		$13.00	$13.26	$13.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $20.11 / $40.93	Professional		$13.26	$20.11	$40.93
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.26	Professional		$13.00	$13.00	$13.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $18.28 / $27.42	Professional		$14.59	$18.28	$27.42