Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $17.42 / $5,248.16	Facility		$15.55	$17.42	$5,248.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $28.10 / $70.81	Facility		$18.61	$28.10	$70.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.61 / $15.61	Professional		$15.55	$15.61	$15.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $15.61 / $15.61	Facility		$14.73	$15.61	$15.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $25.35 / $48.18	Professional		$16.38	$25.35	$48.18
United Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $15.61 / $15.89	Professional		$14.69	$15.61	$15.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $23.53 / $3,000.00	Professional		$18.80	$23.53	$3,000.00