Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $13.44 / $24.00	Facility		$12.00	$13.44	$24.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $20.52 / $52.75	Facility		$14.23	$20.52	$52.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.07 / $12.07	Professional		$12.00	$12.07	$12.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $12.07 / $12.07	Facility		$11.39	$12.07	$12.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $19.60 / $37.25	Professional		$12.66	$19.60	$37.25
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $12.07 / $12.07	Professional		$9.13	$12.07	$12.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $13.69 / $3,000.00	Professional		$10.95	$13.69	$3,000.00