Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $20.35 / $34.79	Facility		$20.35	$20.35	$34.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $28.27	Professional		$20.35	$20.35	$28.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $36.63 / $88.94	Facility		$24.33	$36.63	$88.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $21.12	Professional		$20.35	$20.35	$21.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $20.35 / $20.35	Facility		$19.20	$20.35	$20.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $34.10	Professional		$20.35	$20.35	$34.10
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $22.22	Professional		$20.35	$20.35	$22.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $266.33 / $408.52	Professional		$122.30	$266.33	$408.52