Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $19.61 / $35.02	Facility		$17.51	$19.61	$35.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $27.66 / $75.90	Facility		$22.05	$27.66	$75.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $18.44 / $18.44	Professional		$17.51	$18.44	$18.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $18.44 / $18.44	Facility		$17.39	$18.44	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $29.95 / $56.92	Professional		$19.35	$29.95	$56.92
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $12.50 / $19.17	Professional		$5.74	$12.50	$19.17