Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $114.82	Professional		$54.95	$70.79	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $144.54 / $165.96	Facility		$123.03	$144.54	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $128.82	Professional		$93.33	$93.33	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Professional		$107.15	$107.15	$128.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $186.21	Professional		$56.23	$91.20	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $87.10	Facility		$54.95	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $165.96	Professional		$63.10	$107.15	$165.96