Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $39.97	Facility		$33.31	$33.31	$39.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $39.04	Professional		$33.31	$33.31	$39.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $48.99 / $134.41	Facility		$39.04	$48.99	$134.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $33.31 / $33.31	Professional		$32.65	$33.31	$33.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Facility		$33.31	$33.31	$33.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $50.52 / $102.81	Professional		$33.31	$50.52	$102.81
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $33.31	Professional		$32.65	$32.65	$33.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $158.91 / $261.70	Professional		$35.68	$158.91	$261.70