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 $128.82 / $162.18 / $281.84	Professional		$128.82	$162.18	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,621.81 / $1,737.80	Facility		$199.53	$1,621.81	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $223.87	Professional		$69.18	$104.71	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $398.11	Facility		$389.05	$389.05	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $363.08	Professional		$107.15	$173.78	$363.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $380.19	Professional		$173.78	$213.80	$380.19
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 $134.90 / $173.78 / $630.96	Professional		$134.90	$173.78	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $398.11	Professional		$173.78	$234.42	$398.11