Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $10.01 / $3,365.64	Facility		$2.75	$10.01	$3,365.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.75 / $3.24	Professional		$2.24	$2.75	$3.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $31.43 / $39.60	Facility		$9.94	$31.43	$39.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $2.67 / $2.67	Professional		$2.67	$2.67	$2.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $4.88	Professional		$2.75	$2.75	$4.88
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $2.75	Professional		$2.70	$2.70	$2.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $20.65 / $31.68	Professional		$0.30	$20.65	$31.68