Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,445.44 / $2,570.40	Professional		$776.25	$1,445.44	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,570.40	Professional		$1,047.13	$1,659.59	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,570.40	Professional		$1,380.38	$1,584.89	$2,570.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,187.76	Professional		$1,412.54	$1,659.59	$2,187.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,467.37	Professional		$1,318.26	$1,778.28	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,187.76	Professional		$1,230.27	$1,659.59	$2,187.76