Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $204.17	Facility		$190.55	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $95.50	Professional		$81.28	$81.28	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $95.50 / $263.03	Facility		$79.43	$95.50	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Professional		$81.28	$81.28	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Facility		$81.28	$81.28	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $83.18	Professional		$81.28	$81.28	$83.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $204.17	Facility		$190.55	$190.55	$204.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $125.89	Professional		$81.28	$85.11	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $97.72	Professional		$81.28	$81.28	$97.72