Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $107.76 / $107.76	Professional		$107.76	$107.76	$107.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.07 / $198.10 / $367.22	Facility		$167.07	$198.10	$367.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $115.95 / $133.37	Professional		$105.41	$115.95	$133.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $163.72	Facility		$111.50	$111.50	$163.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $138.68	Professional		$94.78	$111.50	$138.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $137.37 / $137.37	Professional		$137.37	$137.37	$137.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $76.31 / $107.76	Professional		$76.31	$76.31	$107.76
United Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $89.45 / $225.91	Professional		$66.76	$89.45	$225.91