Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.98 / $8.59	Facility		$6.73	$6.98	$8.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $12.09	Professional		$6.73	$6.73	$12.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.50 / $27.70	Facility		$7.94	$10.50	$27.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.98	Professional		$6.73	$6.73	$6.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.73 / $6.73	Facility		$6.35	$6.73	$6.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $11.28	Professional		$6.73	$6.73	$11.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $7.35	Professional		$6.73	$6.73	$7.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $102.54 / $150.72	Professional		$85.45	$102.54	$150.72