Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $35.00 / $175.00	Facility		$25.00	$35.00	$175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.28 / $11.28	Professional		$9.42	$11.28	$11.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.13 / $48.40 / $113.00	Facility		$41.13	$48.40	$113.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.25 / $19.20	Professional		$10.00	$16.25	$19.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $98.65 / $107.22	Facility		$57.04	$98.65	$107.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $13.15 / $32.34	Professional		$7.60	$13.15	$32.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $41.62 / $82.35	Professional		$26.23	$41.62	$82.35
United Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $25.00 / $25.00	Professional		$13.83	$25.00	$25.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $20.32 / $25.86	Professional		$18.47	$20.32	$25.86