Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $13.83 / $24.70	Facility		$12.35	$13.83	$24.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.35	Professional		$12.32	$12.32	$12.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $22.18 / $55.89	Facility		$14.68	$22.18	$55.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.35	Professional		$12.32	$12.32	$12.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $12.32 / $12.32	Facility		$11.62	$12.32	$12.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $20.01 / $38.03	Professional		$12.93	$20.01	$38.03
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $2,920.00 / $3,000.00	Professional		$2,750.00	$2,920.00	$3,000.00