Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $31.38 / $56.04	Facility		$25.37	$31.38	$56.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $28.02	Professional		$25.37	$25.37	$28.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $38.06 / $104.42	Facility		$30.33	$38.06	$104.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $28.02	Professional		$25.37	$25.37	$28.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $25.37 / $25.37	Facility		$23.93	$25.37	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $42.24 / $78.30	Professional		$34.43	$42.24	$78.30
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $90.94 / $132.13	Professional		$76.73	$90.94	$132.13