Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.22 / $158.22 / $170.50	Facility		$158.22	$158.22	$170.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $70.92 / $86.70	Professional		$68.20	$70.92	$86.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.66 / $75.81 / $216.13	Facility		$60.66	$75.81	$216.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $70.77	Professional		$68.20	$68.20	$70.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $68.20 / $222.81	Facility		$68.20	$68.20	$222.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $68.20	Professional		$68.20	$68.20	$68.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $68.20	Professional		$68.20	$68.20	$68.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $158.22 / $158.22 / $170.50	Facility		$158.22	$158.22	$170.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $72.37 / $120.37	Professional		$68.20	$72.37	$120.37
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $98.89	Professional		$68.20	$68.20	$98.89