Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $141.25	Professional		$112.20	$112.20	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $181.97	Professional		$112.20	$125.89	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $125.89	Professional		$112.20	$112.20	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $575.44	Professional		$112.20	$112.20	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $812.83	Professional		$112.20	$125.89	$812.83