Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $38.88 / $39.86	Facility		$32.40	$38.88	$39.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $32.15 / $33.43	Professional		$32.14	$32.15	$33.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.44 / $57.87 / $140.52	Facility		$38.44	$57.87	$140.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $32.40	Professional		$32.15	$32.15	$32.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $32.15 / $32.15	Facility		$30.33	$32.15	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $32.15	Professional		$32.15	$32.15	$32.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $53.87	Professional		$32.15	$32.15	$53.87
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $32.15	Professional		$32.15	$32.15	$32.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $2,920.00 / $3,000.00	Professional		$2,750.00	$2,920.00	$3,000.00