Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $3,019.95	Professional		$870.96	$1,148.15	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,630.27	Facility		$1,905.46	$2,290.87	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,995.26	Professional		$1,148.15	$1,148.15	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $1,584.89	Facility		$1,380.38	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,584.89	Professional		$1,148.15	$1,148.15	$1,584.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,041.74	Professional		$1,698.24	$1,698.24	$2,041.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $3,019.95	Professional		$870.96	$1,202.26	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $1,230.27	Facility		$602.56	$1,071.52	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,412.54 / $1,995.26	Professional		$741.31	$1,412.54	$1,995.26