Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $37.74 / $46.44	Facility		$14.98	$37.74	$46.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $37.74 / $37.74	Professional		$36.85	$37.74	$37.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $55.50 / $152.28	Facility		$44.23	$55.50	$152.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.74 / $37.74	Professional		$37.00	$37.74	$37.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $37.74 / $37.74	Facility		$37.74	$37.74	$37.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $37.74 / $37.74	Professional		$37.74	$37.74	$37.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $62.84 / $116.48	Professional		$51.22	$62.84	$116.48
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $35.09 / $63.02	Professional		$28.05	$35.09	$63.02