Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $35.54	Facility		$28.88	$28.88	$35.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $51.03 / $136.18	Facility		$33.86	$51.03	$136.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.88 / $28.88	Professional		$28.32	$28.88	$28.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Facility		$28.88	$28.88	$28.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $48.75 / $92.66	Professional		$31.50	$48.75	$92.66
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $28.32	Professional		$28.32	$28.32	$28.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $31.77 / $40.43	Professional		$28.88	$31.77	$40.43