Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $375.00	Facility		$150.00	$150.00	$375.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $121.50 / $150.00	Professional		$121.50	$121.50	$150.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.16 / $220.50 / $518.54	Facility		$145.16	$220.50	$518.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $97.50	Professional		$60.00	$60.00	$97.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.95 / $319.95 / $319.95	Facility		$319.95	$319.95	$319.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $151.88 / $158.36	Professional		$95.10	$151.88	$158.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $151.50	Professional		$150.00	$150.00	$151.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $375.00	Facility		$150.00	$150.00	$375.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $150.00 / $150.00	Professional		$121.50	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $150.00 / $262.50	Professional		$90.00	$150.00	$262.50