Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $128.75 / $128.75	Professional		$123.80	$128.75	$128.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $126.06	Professional		$123.80	$123.80	$126.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $128.75 / $142.36	Professional		$123.80	$128.75	$142.36
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $179.51	Professional		$123.80	$123.80	$179.51