Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $29.56	Facility		$24.63	$24.63	$29.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $43.47 / $113.64	Facility		$28.78	$43.47	$113.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $24.63 / $24.63	Professional		$24.15	$24.63	$24.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Facility		$24.63	$24.63	$24.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $27.23 / $35.94	Professional		$24.63	$27.23	$35.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $20.45 / $26.03	Professional		$18.59	$20.45	$26.03