Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $14.88 / $18.30	Facility		$14.88	$14.88	$18.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $48.96 / $93.06	Professional		$31.63	$48.96	$93.06
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $42.00	Professional		$17.50	$17.50	$42.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $16.37 / $20.83	Professional		$14.88	$16.37	$20.83