Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $5.18	Facility		$4.21	$4.21	$5.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $6.20 / $17.00	Facility		$4.94	$6.20	$17.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.20 / $4.20	Professional		$4.13	$4.20	$4.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Facility		$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $6.84 / $12.99	Professional		$4.42	$6.84	$12.99
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Professional		$4.13	$4.13	$4.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.96 / $5.04	Professional		$3.60	$3.96	$5.04