Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $446.68	Facility		$275.42	$275.42	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $263.03	Professional		$147.91	$208.93	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,905.46	Facility		$1,513.56	$1,778.28	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $263.03	Professional		$109.65	$169.82	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $331.13	Professional		$275.42	$275.42	$331.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $263.03	Professional		$147.91	$213.80	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $416.87	Professional		$165.96	$275.42	$416.87