Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $776.25	Facility		$173.78	$173.78	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $173.78	Professional		$95.50	$134.90	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,122.02 / $1,202.26	Facility		$204.17	$1,122.02	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $173.78	Professional		$69.18	$114.82	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $177.83 / $323.59	Professional		$74.13	$177.83	$323.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Professional		$173.78	$173.78	$208.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $281.84	Facility		$173.78	$173.78	$281.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $263.03	Professional		$114.82	$169.82	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $269.15	Professional		$104.71	$173.78	$269.15