Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $114.00 / $114.00	Professional		$82.07	$114.00	$114.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.05 / $216.42 / $401.18	Facility		$167.05	$216.42	$401.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $105.86 / $106.22	Professional		$105.86	$105.86	$106.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $138.04	Facility		$107.42	$107.42	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $107.42	Professional		$78.42	$78.42	$107.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $152.07 / $152.07	Professional		$152.07	$152.07	$152.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $114.00 / $114.00	Professional		$61.57	$114.00	$114.00
United Facility/Professional Facility Modifier Low / Median / High Price $54.62 / $85.00 / $85.00	Facility		$54.62	$85.00	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $93.70 / $215.48	Professional		$62.47	$93.70	$215.48