Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.38 / $38.02	Facility		$19.05	$21.38	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Professional		$19.05	$19.05	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $50.12 / $83.18	Facility		$25.70	$50.12	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $21.88	Professional		$19.05	$19.05	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.05 / $19.05	Facility		$17.78	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $37.15	Professional		$19.50	$32.36	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $28.84	Professional		$19.05	$19.05	$28.84