Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $5.95 / $6.10	Facility		$4.96	$5.95	$6.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $5.90	Professional		$4.29	$4.29	$5.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $7.72 / $18.75	Facility		$5.13	$7.72	$18.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.45	Professional		$4.29	$4.29	$4.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.29 / $4.29	Facility		$4.05	$4.29	$4.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Professional		$4.29	$4.29	$4.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $7.19	Professional		$4.29	$4.29	$7.19
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.42	Professional		$4.29	$4.29	$4.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $7.65 / $9.73	Professional		$6.95	$7.65	$9.73