Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $21.24	Facility		$10.62	$10.62	$21.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $19.12 / $48.13	Facility		$12.66	$19.12	$48.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Facility		$33.45	$33.45	$33.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $55.69 / $110.19	Professional		$35.10	$55.69	$110.19
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $38.24 / $58.65	Professional		$23.34	$38.24	$58.65