Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.00 / $348.00 / $375.00	Facility		$348.00	$348.00	$375.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.14 / $159.59 / $416.34	Facility		$127.14	$159.59	$416.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $154.40	Professional		$127.50	$127.50	$154.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $348.00 / $348.00 / $375.00	Facility		$348.00	$348.00	$375.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $375.00	Professional		$127.50	$127.50	$375.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $181.25	Professional		$125.00	$125.00	$181.25