Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $14.90 / $17.88	Facility		$14.90	$14.90	$17.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $14.90 / $17.46	Professional		$12.10	$14.90	$17.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $62.05	Professional		$62.05	$62.05	$62.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $62.05 / $62.05	Facility		$62.05	$62.05	$62.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $62.05	Professional		$62.05	$62.05	$62.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $118.22	Professional		$62.05	$62.05	$118.22
United Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $62.05 / $62.05	Professional		$36.59	$62.05	$62.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $37.32 / $54.86	Professional		$31.10	$37.32	$54.86