Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $218.78 / $218.78	Facility		$204.17	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $91.20	Professional		$87.10	$87.10	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $102.33 / $275.42	Facility		$85.11	$102.33	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Professional		$87.10	$87.10	$104.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $218.78	Facility		$204.17	$204.17	$218.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $218.78	Professional		$87.10	$89.13	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $125.89	Professional		$75.86	$87.10	$125.89