Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $23.04	Facility		$19.20	$19.20	$23.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Professional		$19.20	$19.20	$19.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $47.97 / $82.74	Facility		$0.02	$47.97	$82.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Facility		$11.89	$11.89	$11.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $29.62 / $56.30	Professional		$19.14	$29.62	$56.30
United Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $25.74 / $29.60	Professional		$16.44	$25.74	$29.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $19.05 / $28.79	Professional		$16.32	$19.05	$28.79