Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $112.50 / $140.49	Facility		$104.40	$112.50	$140.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.95 / $115.95 / $115.95	Facility		$115.95	$115.95	$115.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.28 / $1.55	Professional		$1.28	$1.28	$1.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $104.40 / $140.49	Facility		$104.40	$104.40	$140.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $112.50	Professional		$38.25	$38.25	$112.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $37.50 / $56.25	Professional		$3.82	$37.50	$56.25