Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.95 / $762.88 / $762.88	Professional		$735.95	$762.88	$762.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $762.87 / $839.16	Professional		$718.00	$762.87	$839.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $919.55 / $919.55 / $919.55	Professional		$919.55	$919.55	$919.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
United Facility/Professional Professional Modifier Low / Median / High Price $919.55 / $1,997.50 / $3,495.63	Professional		$919.55	$1,997.50	$3,495.63