Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $34.22 / $35.09	Facility		$28.52	$34.22	$35.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $32.61	Professional		$28.52	$28.52	$32.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $51.34 / $124.65	Facility		$34.10	$51.34	$124.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $28.52 / $28.52	Facility		$26.90	$28.52	$28.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $47.79	Professional		$28.52	$28.52	$47.79
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $30.23	Professional		$28.52	$28.52	$30.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $35.88 / $45.67	Professional		$32.61	$35.88	$45.67