Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.35 / $165.35 / $165.35	Facility		$165.35	$165.35	$165.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $63.35 / $99,999.99	Professional		$61.13	$63.35	$99,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $85.54	Professional		$71.40	$71.40	$85.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $165.35 / $165.35 / $165.35	Facility		$165.35	$165.35	$165.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $79.80 / $115.71	Professional		$63.00	$79.80	$115.71