Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $163.19 / $371.37	Facility		$2.72	$163.19	$371.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.99	Professional		$2.73	$2.73	$2.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $4.09 / $5.46	Facility		$3.26	$4.09	$5.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Professional		$2.73	$2.73	$2.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.73 / $2.73	Facility		$2.57	$2.73	$2.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Professional		$2.73	$2.73	$2.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $4.79	Professional		$2.73	$2.73	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.89	Professional		$2.73	$2.73	$2.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $9.97 / $15.29	Professional		$5.60	$9.97	$15.29