Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $29.28 / $35.32	Facility		$28.70	$29.28	$35.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $29.29 / $30.46	Professional		$28.70	$29.29	$30.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $52.72 / $128.02	Facility		$35.02	$52.72	$128.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $29.29 / $29.29	Facility		$27.63	$29.29	$29.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $49.08	Professional		$29.29	$29.29	$49.08
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $31.84	Professional		$29.29	$29.29	$31.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $30.81 / $38.44	Professional		$27.46	$30.81	$38.44