Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $30.17 / $54.72	Facility		$4.45	$30.17	$54.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.07 / $45.26 / $124.17	Facility		$36.07	$45.26	$124.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $30.17 / $30.17	Professional		$27.36	$30.17	$30.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $30.17 / $30.17	Facility		$28.46	$30.17	$30.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $50.23 / $93.12	Professional		$40.95	$50.23	$93.12
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $3.82 / $5.43	Professional		$3.27	$3.82	$5.43