Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $12.47 / $27.74	Facility		$9.68	$12.47	$27.74
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $119.85 / $119.85 / $277.24	Facility	CQ	$119.85	$119.85	$277.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.68 / $12.38	Professional		$8.02	$9.68	$12.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $19.77 / $32.90	Professional		$12.29	$19.77	$32.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $11.31	Professional		$11.31	$11.31	$11.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $27.72 / $46.35	Professional		$14.07	$27.72	$46.35
United Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $20.12 / $50.06	Professional		$14.35	$20.12	$50.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $12.92 / $19.51	Professional		$10.80	$12.92	$19.51