Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $20.27 / $5,527.04	Facility		$16.89	$20.27	$5,527.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $17.02 / $18.92	Professional		$16.89	$17.02	$18.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $26.55 / $70.05	Facility		$20.07	$26.55	$70.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $17.02 / $17.02	Facility		$16.05	$17.02	$17.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $28.52	Professional		$17.02	$17.02	$28.52
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $18.04	Professional		$17.02	$17.02	$18.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $13.78 / $18.01	Professional		$11.23	$13.78	$18.01