Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.48 / $8.00	Facility		$4.00	$4.48	$8.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $9.05 / $9.05	Professional		$4.48	$9.05	$9.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $13.58 / $37.25	Facility		$10.82	$13.58	$37.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $9.05 / $9.05	Professional		$4.00	$9.05	$9.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $9.05 / $9.05	Facility		$8.53	$9.05	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $15.07 / $27.93	Professional		$12.28	$15.07	$27.93
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.45 / $2.29	Professional		$1.21	$1.45	$2.29