Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $20.50 / $36.60	Facility		$18.30	$20.50	$36.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.30	Professional		$18.01	$18.01	$18.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $32.42 / $81.70	Facility		$21.47	$32.42	$81.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.30	Professional		$18.01	$18.01	$18.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.01 / $18.01	Facility		$16.98	$18.01	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $29.25 / $55.59	Professional		$18.89	$29.25	$55.59
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $2,920.00 / $3,000.00	Professional		$2,750.00	$2,920.00	$3,000.00