Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $29.92 / $35.90	Facility		$29.92	$29.92	$35.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $36.26	Professional		$26.51	$26.51	$36.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $41.36 / $109.11	Facility		$31.26	$41.36	$109.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Professional		$26.51	$26.51	$26.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $26.51 / $26.51	Facility		$20.83	$26.51	$26.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Professional		$26.51	$26.51	$26.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $44.42	Professional		$26.51	$26.51	$44.42
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $29.51	Professional		$26.51	$26.51	$29.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $80.43 / $102.37	Professional		$73.12	$80.43	$102.37