Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $47.85 / $113.15	Facility		$47.85	$47.85	$113.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $111.17 / $113.16	Professional		$89.12	$111.17	$113.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.81 / $214.82 / $398.21	Facility		$165.81	$214.82	$398.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $108.19 / $112.34	Professional		$108.19	$108.19	$112.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $120.81 / $120.81	Facility		$120.81	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $120.81	Professional		$88.19	$88.19	$120.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $47.85 / $47.85	Facility		$47.85	$47.85	$47.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.85 / $111.17 / $113.16	Professional		$106.85	$111.17	$113.16
United Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $95.81 / $213.92	Professional		$66.66	$95.81	$213.92