Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $696.00 / $750.00	Facility		$696.00	$696.00	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.28 / $269.60 / $688.62	Facility		$210.28	$269.60	$688.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $255.00 / $255.00	Professional		$250.00	$255.00	$255.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $412.15	Facility		$255.00	$255.00	$412.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $305.52	Professional		$255.00	$255.00	$305.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $696.00 / $750.00	Facility		$696.00	$696.00	$750.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $331.50	Professional		$255.00	$255.00	$331.50
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $362.50	Professional		$100.00	$250.00	$362.50