Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $35.52 / $36.42	Facility		$29.60	$35.52	$36.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $35.88	Professional		$23.88	$23.88	$35.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.55 / $42.98 / $104.37	Facility		$28.55	$42.98	$104.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $24.78	Professional		$23.88	$23.88	$24.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $23.88 / $23.88	Facility		$22.53	$23.88	$23.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $23.88	Professional		$23.88	$23.88	$23.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $40.02	Professional		$23.88	$23.88	$40.02
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $25.31	Professional		$23.88	$23.88	$25.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $45.87 / $58.38	Professional		$41.70	$45.87	$58.38