Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $28.85 / $9,758.03	Facility		$27.85	$28.85	$9,758.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $34.61	Professional		$27.86	$27.86	$34.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $50.15 / $121.77	Facility		$33.31	$50.15	$121.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Professional		$27.86	$27.86	$27.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $27.86 / $27.86	Facility		$22.34	$27.86	$27.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Professional		$27.86	$27.86	$27.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $46.68	Professional		$27.86	$27.86	$46.68
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $71.17	Professional		$27.86	$27.86	$71.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $97.93 / $3,375.00	Professional		$78.29	$97.93	$3,375.00