Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $16.82 / $30.06	Facility		$15.03	$16.82	$30.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $27.07 / $68.23	Facility		$17.93	$27.07	$68.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.04 / $15.04	Professional		$15.03	$15.04	$15.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $15.04 / $15.04	Facility		$14.19	$15.04	$15.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $25.04 / $49.54	Professional		$15.78	$25.04	$49.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $16.82 / $21.42	Professional		$15.30	$16.82	$21.42