Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $17.66 / $18.11	Facility		$14.72	$17.66	$18.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $17.84	Professional		$4.19	$4.19	$17.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.54 / $18.30	Facility		$5.01	$7.54	$18.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $4.34	Professional		$4.19	$4.19	$4.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $4.19 / $4.19	Facility		$3.95	$4.19	$4.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $4.19	Professional		$4.19	$4.19	$4.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $7.02	Professional		$4.19	$4.19	$7.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $4.61	Professional		$4.19	$4.19	$4.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $112.49 / $143.16	Professional		$102.26	$112.49	$143.16