Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $247.96 / $1,235.33	Facility		$3.02	$247.96	$1,235.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $4.53 / $12.43	Facility		$3.61	$4.53	$12.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.02 / $3.02	Professional		$2.89	$3.02	$3.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $3.02 / $3.02	Facility		$2.85	$3.02	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.03 / $9.32	Professional		$4.09	$5.03	$9.32
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $60.98 / $92.10	Professional		$52.21	$60.98	$92.10