Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $149.91 / $161.55	Facility		$149.91	$149.91	$161.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $90.81 / $90.81	Professional		$67.20	$90.81	$90.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $78.25	Professional		$64.62	$64.62	$78.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $149.91 / $161.55	Facility		$149.91	$149.91	$161.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $90.81 / $161.55	Professional		$67.20	$90.81	$161.55
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $113.09	Professional		$64.62	$64.62	$113.09