Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.44 / $159.44 / $159.44	Facility		$159.44	$159.44	$159.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $159.44 / $266.76	Professional		$136.37	$159.44	$266.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.70 / $160.88 / $305.25	Professional	25	$54.70	$160.88	$305.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $186.52 / $316.02	Professional		$160.44	$186.52	$316.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $187.13 / $187.13	Facility		$90.00	$187.13	$187.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $236.55 / $423.10	Professional		$201.08	$236.55	$423.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $143.59 / $159.44 / $310.89	Professional		$143.59	$159.44	$310.89
United Facility/Professional Professional Modifier Low / Median / High Price $164.08 / $240.75 / $377.84	Professional		$164.08	$240.75	$377.84