Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $750.00	Facility		$300.00	$300.00	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $243.00 / $300.00	Professional		$243.00	$243.00	$300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.31 / $441.00 / $2,357.58	Facility		$290.31	$441.00	$2,357.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $313.02	Professional		$120.00	$120.00	$313.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $639.89 / $639.89 / $639.89	Facility		$639.89	$639.89	$639.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $303.45 / $410.71	Professional		$189.97	$303.45	$410.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $303.00	Professional		$300.00	$300.00	$303.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $750.00	Facility		$300.00	$300.00	$750.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $300.00 / $300.00	Professional		$243.00	$300.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $329.51 / $494.27	Professional		$180.00	$329.51	$494.27