Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $28.20 / $28.92	Facility		$23.50	$28.20	$28.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $26.38	Professional		$25.20	$25.20	$26.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $37.79 / $50.40	Facility		$30.13	$37.79	$50.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Professional		$25.20	$25.20	$25.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $25.20 / $25.20	Facility		$23.78	$25.20	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Professional		$25.20	$25.20	$25.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $44.26	Professional		$25.20	$25.20	$44.26
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $28.05	Professional		$25.20	$25.20	$28.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $153.38 / $225.47	Professional		$127.82	$153.38	$225.47