Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $500.00	Facility		$200.00	$200.00	$500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $162.00 / $200.00	Professional		$162.00	$162.00	$200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.54 / $294.00 / $2,764.26	Facility		$193.54	$294.00	$2,764.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $88.00 / $348.68	Professional		$80.00	$88.00	$348.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.60 / $426.60 / $426.60	Facility		$426.60	$426.60	$426.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $202.30 / $211.39	Professional		$126.65	$202.30	$211.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $202.00	Professional		$200.00	$200.00	$202.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $500.00	Facility		$200.00	$200.00	$500.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $200.00 / $200.00	Professional		$162.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $300.00	Professional		$120.00	$120.00	$300.00