Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $195.53 / $195.53	Professional		$126.85	$195.53	$195.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.20 / $334.54 / $620.12	Facility		$258.20	$334.54	$620.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $138.94 / $217.96	Professional		$132.08	$138.94	$217.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $213.38	Facility		$140.85	$140.85	$213.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $140.85	Professional		$102.82	$102.82	$140.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $235.06 / $235.06 / $235.06	Professional		$235.06	$235.06	$235.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $195.53 / $195.53	Professional		$163.47	$195.53	$195.53
United Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $163.66 / $333.08	Professional		$96.56	$163.66	$333.08