Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.41 / $164.41 / $164.41	Facility		$164.41	$164.41	$164.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $198.95 / $207.14	Professional		$164.42	$198.95	$207.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.11 / $199.72 / $521.04	Facility		$159.11	$199.72	$521.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $190.53 / $190.53	Professional		$190.53	$190.53	$190.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Facility		$219.62	$219.62	$219.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Professional		$219.62	$219.62	$219.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $258.47 / $396.51	Professional		$223.40	$258.47	$396.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $198.95 / $287.73	Professional		$164.41	$198.95	$287.73
United Facility/Professional Professional Modifier Low / Median / High Price $163.78 / $164.42 / $246.63	Professional		$163.78	$164.42	$246.63