Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $409.90 / $871.04	Facility		$409.90	$409.90	$871.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $409.90 / $409.90	Professional		$409.90	$409.90	$409.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.66 / $497.91 / $1,417.02	Facility		$396.66	$497.91	$1,417.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $266.43 / $266.43	Professional		$80.97	$266.43	$266.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $874.32 / $874.32 / $874.32	Facility		$874.32	$874.32	$874.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $409.90 / $414.00	Professional		$409.90	$409.90	$414.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $409.90 / $664.04	Facility		$409.90	$409.90	$664.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $409.90 / $409.90	Professional		$409.90	$409.90	$409.90
United Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $273.27 / $683.18	Professional		$245.94	$273.27	$683.18