Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $27.07 / $33.31	Facility		$25.26	$27.07	$33.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $27.07	Professional		$25.27	$25.27	$27.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $37.90 / $104.01	Facility		$30.21	$37.90	$104.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $27.07	Professional		$25.27	$25.27	$27.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $25.27 / $25.27	Facility		$23.84	$25.27	$25.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $42.07 / $78.00	Professional		$34.29	$42.07	$78.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $60.65	Professional		$25.27	$25.27	$60.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $10.56 / $15.95	Professional		$9.03	$10.56	$15.95