Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $508.75	Facility		$203.50	$203.50	$508.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $164.84 / $203.50	Professional		$164.84	$164.84	$203.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.93 / $299.14 / $4,890.38	Facility		$196.93	$299.14	$4,890.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $81.40 / $210.05	Professional		$81.40	$81.40	$210.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.08 / $434.08 / $434.08	Facility		$434.08	$434.08	$434.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $205.90 / $215.05	Professional		$128.93	$205.90	$215.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $203.50 / $205.54	Professional		$203.50	$203.50	$205.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $508.75	Facility		$203.50	$203.50	$508.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $203.50 / $203.50	Professional		$164.84	$203.50	$203.50
United Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $132.80 / $332.00	Professional		$110.83	$132.80	$332.00