Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $31.94 / $57.04	Facility		$28.52	$31.94	$57.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $51.62 / $130.10	Facility		$34.18	$51.62	$130.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.68 / $28.68	Professional		$28.52	$28.68	$28.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $28.68 / $28.68	Facility		$27.06	$28.68	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $46.58 / $88.52	Professional		$30.09	$46.58	$88.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $29.96 / $3,000.00	Professional		$23.95	$29.96	$3,000.00