Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $30.01 / $1,255.99	Facility		$29.30	$30.01	$1,255.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $54.02 / $136.13	Facility		$35.77	$54.02	$136.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $30.01 / $30.01	Professional		$29.30	$30.01	$30.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $30.01 / $30.01	Facility		$28.31	$30.01	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $48.74 / $92.63	Professional		$31.49	$48.74	$92.63
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $5.05 / $8.19	Professional		$4.33	$5.05	$8.19