Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $11,462.82	Facility		$27.99	$27.99	$11,462.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $54.58 / $137.54	Facility		$36.14	$54.58	$137.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $30.32 / $30.32	Professional		$27.99	$30.32	$30.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $30.32 / $30.32	Facility		$23.58	$30.32	$30.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $49.24 / $93.58	Professional		$31.81	$49.24	$93.58
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $32.14	Professional		$30.32	$30.32	$32.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $367.04 / $459.13 / $3,000.00	Professional		$367.04	$459.13	$3,000.00