Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $25.05 / $50.10	Facility		$25.05	$25.05	$50.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $45.90 / $118.01	Facility		$31.84	$45.90	$118.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $27.00 / $27.00	Professional		$25.05	$27.00	$27.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $27.00 / $27.00	Facility		$24.65	$27.00	$27.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $43.85 / $83.34	Professional		$28.33	$43.85	$83.34
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $105.75 / $3,000.00	Professional		$84.54	$105.75	$3,000.00