Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $22.36 / $27.51	Facility		$22.36	$22.36	$27.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $22.36	Professional		$22.36	$22.36	$22.36
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 $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $35.04 / $64.97	Professional		$28.57	$35.04	$64.97
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $50.52	Professional		$21.05	$21.05	$50.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $24.60 / $31.30	Professional		$22.36	$24.60	$31.30