Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $13.60 / $24.28	Facility		$12.14	$13.60	$24.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $21.85 / $55.07	Facility		$14.47	$21.85	$55.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $12.14 / $12.14	Facility		$11.45	$12.14	$12.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $19.72 / $37.47	Professional		$12.74	$19.72	$37.47
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.34 / $15.71	Professional		$11.22	$12.34	$15.71