Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $104.67 / $104.67	Facility		$104.67	$104.67	$104.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $104.67 / $115.13	Professional		$104.67	$104.67	$115.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.66 / $317.66 / $317.66	Facility		$317.66	$317.66	$317.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $100.80 / $100.80	Professional		$100.80	$100.80	$100.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Facility		$115.07	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $121.10 / $185.78	Professional		$104.67	$121.10	$185.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $104.67 / $104.67	Facility		$104.67	$104.67	$104.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $104.67 / $120.37	Professional		$104.67	$104.67	$120.37
United Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $102.74 / $154.11	Professional		$102.19	$102.74	$154.11