Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $15.18	Facility		$12.34	$12.34	$15.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $24.18 / $44.82	Professional		$19.71	$24.18	$44.82
United Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $25.48 / $37.45	Professional		$21.23	$25.48	$37.45