Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $25.52	Facility		$21.27	$21.27	$25.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $21.27 / $21.27	Professional		$20.27	$21.27	$21.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $30.87	Professional		$21.27	$21.27	$30.87
United Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.48 / $21.48	Professional		$21.27	$21.48	$21.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $23.40 / $29.78	Professional		$21.27	$23.40	$29.78