Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $16.70 / $29.82	Facility		$14.91	$16.70	$29.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $14.91	Professional		$14.85	$14.85	$14.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $25.23 / $64.86	Facility		$17.51	$25.23	$64.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $14.91	Professional		$14.85	$14.85	$14.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.84 / $14.84	Facility		$14.00	$14.84	$14.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $14.84 / $14.84	Professional		$14.84	$14.84	$14.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $24.12 / $45.83	Professional		$15.58	$24.12	$45.83
United Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $16.63	Professional		$14.85	$14.85	$16.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $24.26 / $3,000.00	Professional		$17.97	$24.26	$3,000.00