Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $954.99	Facility		$707.95	$707.95	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,202.26	Professional		$457.09	$691.83	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $794.33	Professional		$389.05	$645.65	$794.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $588.84 / $977.24 / $1,202.26	Professional	50	$588.84	$977.24	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $1,288.25	Professional		$562.34	$977.24	$1,288.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,202.26	Professional		$489.78	$758.58	$1,202.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,288.25	Professional		$457.09	$707.95	$1,288.25
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,071.52	Professional		$489.78	$741.31	$1,071.52