Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $14.49 / $17.39	Facility		$14.49	$14.49	$17.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $14.49 / $14.49	Professional		$13.81	$14.49	$14.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Facility		$17.05	$17.05	$17.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $24.75	Professional		$17.05	$17.05	$24.75
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00