Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $107.15	Professional		$53.70	$100.00	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $190.55	Professional		$141.25	$165.96	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $58.88	Professional		$46.77	$58.88	$58.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $107.15	Professional		$53.70	$97.72	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $141.25	Professional		$53.70	$81.28	$141.25