Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $174.00 / $187.50	Facility		$174.00	$174.00	$187.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $83.92 / $214.35	Facility		$65.45	$83.92	$214.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $77.20	Professional		$63.75	$63.75	$77.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $174.00 / $187.50	Facility		$174.00	$174.00	$187.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $187.50	Professional		$63.75	$63.75	$187.50
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $215.28	Professional		$62.50	$62.50	$215.28