Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $6.88 / $7.05	Facility		$5.73	$6.88	$7.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.96	Professional		$5.73	$5.73	$5.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $10.31 / $25.04	Facility		$6.85	$10.31	$25.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $5.73 / $5.73	Facility		$5.41	$5.73	$5.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $9.60	Professional		$5.73	$5.73	$9.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.07	Professional		$5.73	$5.73	$6.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.79 / $7.36	Professional		$5.26	$5.79	$7.36