Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.41 / $32.02 / $858.42	Facility		$30.41	$32.02	$858.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $45.00 / $123.47	Facility		$35.86	$45.00	$123.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.60 / $30.60	Professional		$30.00	$30.60	$30.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Facility		$30.60	$30.60	$30.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $46.41 / $94.45	Professional		$30.60	$46.41	$94.45
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.60	Professional		$30.00	$30.00	$30.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $42.11 / $3,000.00	Professional		$30.60	$42.11	$3,000.00