Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.61 / $300.93 / $300.93	Professional		$216.61	$300.93	$300.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.95 / $571.29 / $1,058.99	Facility		$440.95	$571.29	$1,058.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.70 / $241.60 / $241.60	Professional		$221.70	$241.60	$241.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $364.39	Facility		$236.57	$236.57	$364.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $172.70 / $236.57	Professional		$172.70	$172.70	$236.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $401.41 / $401.41 / $401.41	Professional		$401.41	$401.41	$401.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $300.93 / $300.93	Professional		$279.14	$300.93	$300.93
United Facility/Professional Professional Modifier Low / Median / High Price $164.89 / $247.34 / $568.78	Professional		$164.89	$247.34	$568.78