Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $18.14 / $32.40	Facility		$16.20	$18.14	$32.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $24.30 / $32.40	Facility		$19.10	$24.30	$32.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $16.20 / $16.20	Facility		$15.28	$16.20	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $26.97 / $50.00	Professional		$21.99	$26.97	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $11.81 / $15.04	Professional		$10.74	$11.81	$15.04