Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $144.54 / $144.54	Facility		$69.18	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $177.83	Professional		$93.33	$117.49	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $128.82	Professional		$100.00	$114.82	$128.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $144.54	Facility		$69.18	$69.18	$144.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $165.96	Professional		$95.50	$107.15	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $169.82	Professional		$87.10	$95.50	$169.82