Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $42.46	Facility		$21.23	$21.23	$42.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $38.21 / $96.31	Facility		$25.30	$38.21	$96.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Facility		$28.21	$28.21	$28.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $46.97 / $92.93	Professional		$29.60	$46.97	$92.93
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $30.86 / $39.27	Professional		$28.05	$30.86	$39.27