Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $13.29 / $26.58	Facility		$12.99	$13.29	$26.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $13.29	Professional		$12.99	$12.99	$13.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $22.08 / $56.78	Facility		$15.32	$22.08	$56.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $14.28	Professional		$12.99	$12.99	$14.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $12.99 / $12.99	Facility		$12.26	$12.99	$12.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Professional		$12.99	$12.99	$12.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.10 / $40.09	Professional		$13.63	$21.10	$40.09
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.99 / $13.11	Professional		$12.28	$12.99	$13.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $20.01 / $3,000.00	Professional		$15.99	$20.01	$3,000.00