Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $14.34 / $25.60	Facility		$12.80	$14.34	$25.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $12.80	Professional		$6.05	$6.05	$12.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $9.08 / $24.90	Facility		$7.23	$9.08	$24.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $12.80	Professional		$6.05	$6.05	$12.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $6.05 / $6.05	Facility		$5.70	$6.05	$6.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $10.07 / $18.67	Professional		$8.21	$10.07	$18.67
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $19.44 / $29.81	Professional		$2.88	$19.44	$29.81