Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $15.74 / $26.24	Facility		$13.12	$15.74	$26.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $16.19	Professional		$13.49	$13.49	$16.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $24.28 / $58.96	Facility		$16.13	$24.28	$58.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $13.49 / $13.49	Facility		$12.72	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $22.61	Professional		$13.49	$13.49	$22.61
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $15.02	Professional		$13.49	$13.49	$15.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $33.17 / $3,375.00	Professional		$26.06	$33.17	$3,375.00