Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.85 / $28.18	Facility		$14.13	$15.85	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $37.15 / $61.66	Facility		$19.50	$37.15	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $15.49	Professional		$14.13	$14.13	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.13 / $14.13	Facility		$13.49	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.22	Professional		$14.13	$14.13	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.13 / $15.14	Professional		$13.49	$14.13	$15.14
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.50 / $23.99	Facility		$14.13	$19.50	$23.99