Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $192.00 / $480.00	Facility		$192.00	$192.00	$480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.52 / $155.52 / $192.00	Professional		$155.52	$155.52	$192.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.67 / $535.27 / $623.91	Facility		$463.67	$535.27	$623.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $76.80 / $124.80	Professional		$76.80	$76.80	$124.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.53 / $409.53 / $409.53	Facility		$409.53	$409.53	$409.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $172.34 / $202.98	Professional		$86.14	$172.34	$202.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $193.92	Professional		$192.00	$192.00	$193.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $192.00 / $480.00	Facility		$192.00	$192.00	$480.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $155.52 / $192.00 / $192.00	Professional		$155.52	$192.00	$192.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $115.20 / $146.41	Professional		$50.20	$115.20	$146.41