Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $213.80	Facility		$47.86	$47.86	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $69.18	Professional		$23.99	$37.15	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $245.47 / $263.03	Facility		$56.23	$245.47	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $33.88	Professional		$19.50	$28.84	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $109.65 / $109.65	Facility		$60.26	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $48.98 / $52.48	Professional		$21.88	$48.98	$52.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $57.54	Professional		$47.86	$47.86	$57.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $77.62	Facility		$47.86	$47.86	$77.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $47.86 / $109.65	Professional		$26.92	$47.86	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $47.86 / $61.66	Professional		$21.38	$47.86	$61.66