Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $56.55 / $732.12	Facility		$5.05	$56.55	$732.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.20	Professional		$5.05	$5.05	$5.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $7.59 / $20.83	Facility		$6.05	$7.59	$20.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.20	Professional		$5.05	$5.05	$5.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $5.05 / $5.05	Facility		$4.76	$5.05	$5.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $8.42 / $15.62	Professional		$6.87	$8.42	$15.62
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.36	Professional		$5.05	$5.05	$5.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $32.20 / $246.28	Professional		$25.74	$32.20	$246.28