Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $145.00	Facility		$58.00	$58.00	$145.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $46.98 / $58.00	Professional		$23.42	$46.98	$58.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.13 / $77.43 / $218.26	Facility		$56.13	$77.43	$218.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $37.70	Professional		$23.20	$23.20	$37.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $45.89 / $123.71	Facility		$45.89	$45.89	$123.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $54.15 / $61.44	Professional		$27.20	$54.15	$61.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $58.58	Professional		$58.00	$58.00	$58.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $145.00	Facility		$58.00	$58.00	$145.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $58.00 / $58.00	Professional		$46.98	$58.00	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $34.79 / $47.81	Professional		$16.39	$34.79	$47.81