Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.94	Facility		$3.20	$3.20	$3.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $4.70 / $12.88	Facility		$3.74	$4.70	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.19 / $3.19	Professional		$3.13	$3.19	$3.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Facility		$3.20	$3.20	$3.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $5.39 / $10.25	Professional		$3.48	$5.39	$10.25
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $4.48 / $3,375.00	Professional		$3.20	$4.48	$3,375.00