Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $95.32 / $472.21	Facility		$18.59	$95.32	$472.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $33.46 / $84.33	Facility		$22.16	$33.46	$84.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $18.59 / $18.59	Facility		$17.54	$18.59	$18.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.19 / $57.38	Professional		$19.50	$30.19	$57.38
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $44.63 / $3,000.00	Professional		$36.36	$44.63	$3,000.00