Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $23.80 / $213.04	Professional		$23.80	$23.80	$213.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $29.14 / $32.74	Professional		$23.90	$29.14	$32.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $128.79 / $128.79	Professional		$128.79	$128.79	$128.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $88.94 / $128.79	Professional		$88.94	$88.94	$128.79