Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $190.55 / $190.55	Facility		$173.78	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $6,918.31	Professional		$75.86	$75.86	$6,918.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $239.88	Facility		$74.13	$87.10	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Facility		$75.86	$75.86	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $95.50	Professional		$77.62	$77.62	$95.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $190.55	Facility		$173.78	$173.78	$190.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $162.18	Professional		$75.86	$79.43	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $109.65	Professional		$51.29	$75.86	$109.65