Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $20.75	Facility		$17.29	$17.29	$20.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $17.29 / $17.29	Professional		$16.48	$17.29	$17.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $25.43 / $69.76	Facility		$20.26	$25.43	$69.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.28 / $17.28	Professional		$17.28	$17.28	$17.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Facility		$17.29	$17.29	$17.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $22.82 / $25.94	Professional		$17.29	$22.82	$25.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $18.43 / $23.04	Professional		$15.36	$18.43	$23.04