Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $40.79 / $50.20	Facility		$40.79	$40.79	$50.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $40.79	Professional		$40.79	$40.79	$40.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $40.79	Professional		$40.79	$40.79	$40.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Facility		$42.40	$42.40	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $70.59 / $130.87	Professional		$57.55	$70.59	$130.87
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $44.88 / $57.12	Professional		$40.79	$44.88	$57.12