Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $19.53 / $34.88	Facility		$17.44	$19.53	$34.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $31.72 / $79.93	Facility		$21.00	$31.72	$79.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.62 / $17.62	Professional		$17.44	$17.62	$17.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $17.62 / $17.62	Facility		$16.62	$17.62	$17.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $28.61 / $54.38	Professional		$18.48	$28.61	$54.38
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $25.55	Professional		$17.62	$17.62	$25.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $41.93 / $3,000.00	Professional		$33.52	$41.93	$3,000.00