Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $173.78	Facility		$38.90	$38.90	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $38.90	Professional		$26.92	$30.90	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $245.47 / $269.15	Facility		$44.67	$245.47	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.91 / $38.90	Professional		$15.49	$22.91	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $54.95	Professional		$38.90	$42.66	$54.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $46.77	Professional		$22.91	$38.90	$46.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $63.10	Facility		$38.90	$38.90	$63.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $57.54	Professional		$28.84	$37.15	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $58.88	Professional		$22.91	$38.90	$58.88