Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $17.45 / $31.16	Facility		$15.58	$17.45	$31.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $28.94 / $72.95	Facility		$19.17	$28.94	$72.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $16.07 / $16.07	Professional		$15.58	$16.07	$16.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $16.07 / $16.07	Facility		$15.17	$16.07	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $26.11 / $49.63	Professional		$16.87	$26.11	$49.63
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $60.79	Professional		$16.07	$16.07	$60.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $88.41 / $112.52	Professional		$80.37	$88.41	$112.52