Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $912.01	Facility		$204.17	$204.17	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $204.17	Professional		$109.65	$158.49	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,288.25 / $1,412.54	Facility		$234.42	$1,288.25	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $204.17	Professional		$81.28	$131.83	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $371.54	Professional		$87.10	$204.17	$371.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $239.88	Professional		$204.17	$204.17	$239.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $331.13	Facility		$204.17	$204.17	$331.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $302.00	Professional		$131.83	$194.98	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $309.03	Professional		$120.23	$204.17	$309.03