Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $19.70 / $35.18	Facility		$17.59	$19.70	$35.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $17.59	Professional		$16.84	$16.84	$17.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $27.80 / $73.59	Facility		$19.86	$27.80	$73.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $17.59	Professional		$16.84	$16.84	$17.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $16.84 / $16.84	Facility		$15.89	$16.84	$16.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $27.35 / $51.98	Professional		$17.67	$27.35	$51.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $18.86	Professional		$16.84	$16.84	$18.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $28.30 / $3,000.00	Professional		$22.63	$28.30	$3,000.00