Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $23.93 / $28.72	Facility		$23.93	$23.93	$28.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $31.07	Professional		$25.77	$25.77	$31.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $46.39 / $112.63	Facility		$30.81	$46.39	$112.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $25.77	Professional		$25.77	$25.77	$25.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $25.77 / $25.77	Facility		$20.23	$25.77	$25.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $25.77	Professional		$25.77	$25.77	$25.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $43.18	Professional		$25.77	$25.77	$43.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $60.66	Professional		$25.77	$25.77	$60.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $86.10 / $3,375.00	Professional		$68.83	$86.10	$3,375.00