Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $12.23	Facility		$9.94	$9.94	$12.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Professional		$9.94	$9.94	$9.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $14.61 / $40.09	Facility		$11.64	$14.61	$40.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.93 / $9.93	Professional		$9.74	$9.93	$9.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Facility		$9.94	$9.94	$9.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Professional		$9.94	$9.94	$9.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.53 / $10.25	Professional		$4.51	$5.53	$10.25
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $9.74	Professional		$9.74	$9.74	$9.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.44 / $5.05	Professional		$3.16	$3.44	$5.05