Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.12 / $209.95 / $209.95	Professional		$151.12	$209.95	$209.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.64 / $398.58 / $738.84	Facility		$307.64	$398.58	$738.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $178.02 / $178.02	Professional		$169.99	$178.02	$178.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $254.21	Facility		$174.32	$174.32	$254.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $174.32	Professional		$127.25	$127.25	$174.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $280.05 / $280.05 / $280.05	Professional		$280.05	$280.05	$280.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $209.95 / $209.95	Professional		$194.75	$209.95	$209.95
United Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $171.57 / $396.82	Professional		$115.04	$171.57	$396.82