Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $89.73 / $192.09	Facility		$53.75	$89.73	$192.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $89.74 / $178.27	Professional		$53.75	$89.74	$178.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.88 / $44.87 / $44.87	Professional	52	$26.88	$44.87	$44.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $109.98 / $172.72	Professional		$67.48	$109.98	$172.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $101.22 / $164.97 / $259.08	Professional	50	$101.22	$164.97	$259.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $134.08 / $222.65	Professional		$74.63	$134.08	$222.65
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $164.97 / $230.45	Professional		$98.98	$164.97	$230.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $140.15 / $235.96	Professional		$86.15	$140.15	$235.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $140.79 / $194.05	Facility		$25.55	$140.79	$194.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $89.73 / $159.50	Professional		$53.75	$89.73	$159.50
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $26.88 / $42.22 / $66.89	Professional	52	$26.88	$42.22	$66.89
United Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $150.86 / $233.46	Professional		$95.02	$150.86	$233.46