Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.43 / $19.67	Facility		$1.28	$1.43	$19.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $2.02 / $5.56	Facility		$1.61	$2.02	$5.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.35 / $1.35	Professional		$1.28	$1.35	$1.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.27 / $1.35 / $1.35	Facility		$1.27	$1.35	$1.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.25 / $4.45	Professional		$1.35	$2.25	$4.45
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.64 / $8.67	Professional		$4.51	$5.64	$8.67