Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $125.14 / $191.08	Professional		$95.95	$125.14	$191.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $141.62 / $179.63	Professional		$109.91	$141.62	$179.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $164.87 / $212.44 / $265.89	Professional	50	$164.87	$212.44	$265.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.05 / $712.05 / $712.05	Facility		$712.05	$712.05	$712.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.36 / $211.44 / $245.32	Professional		$149.36	$211.44	$245.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $156.43 / $239.97	Professional		$135.19	$156.43	$239.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $115.53 / $185.59	Professional		$93.75	$115.53	$185.59
United Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $165.71 / $220.06	Professional		$115.79	$165.71	$220.06