Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $489.78	Facility		$109.65	$109.65	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $87.10 / $112.20	Professional		$30.90	$87.10	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $302.00 / $323.59	Facility		$125.89	$302.00	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $70.79	Professional		$42.66	$44.67	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $128.82 / $251.19	Facility		$123.03	$128.82	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $109.65 / $158.49	Professional		$44.67	$109.65	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $131.83	Professional		$66.07	$109.65	$131.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $177.83	Facility		$109.65	$109.65	$177.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $165.96	Professional		$83.18	$109.65	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $66.07 / $114.82	Professional		$26.92	$66.07	$114.82