Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $3,311.31	Professional		$1,000.00	$1,905.46	$3,311.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $3,311.31	Professional		$1,348.96	$2,187.76	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,311.31	Professional		$1,819.70	$2,089.30	$3,311.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,818.38	Professional		$1,819.70	$2,187.76	$2,818.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,466.84	Professional		$1,698.24	$2,290.87	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,818.38	Professional		$1,621.81	$2,187.76	$2,818.38