Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,230.27	Facility		$275.42	$275.42	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $275.42	Professional		$147.91	$213.80	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,778.28 / $1,905.46	Facility		$316.23	$1,778.28	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $275.42	Professional		$109.65	$177.83	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $275.42 / $512.86	Professional		$117.49	$275.42	$512.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $331.13	Professional		$275.42	$275.42	$331.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $446.68	Facility		$275.42	$275.42	$446.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $416.87	Professional		$181.97	$263.03	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $426.58	Professional		$165.96	$275.42	$426.58