Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $14,791.08 / $27,542.29	Facility		$6,918.31	$14,791.08	$27,542.29
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	80	$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $3,890.45	Professional		$1,174.90	$1,659.59	$3,890.45
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $173.78 / $467.74 / $660.69	Professional	AS	$173.78	$467.74	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $2,884.03	Professional		$1,148.15	$1,905.46	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $162.18 / $263.03 / $398.11	Professional	AS	$162.18	$263.03	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,951.21	Professional		$1,445.44	$1,905.46	$2,951.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $3,235.94	Professional		$1,445.44	$1,778.28	$3,235.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $14,125.38 / $27,542.29	Facility		$5,888.44	$14,125.38	$27,542.29
Martin's Point Facility/Professional Facility Modifier 80 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	80	$194.98	$194.98	$194.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,467.37	Professional		$1,258.93	$1,698.24	$3,467.37
Martin's Point Facility/Professional Professional Modifier AS Low / Median / High Price $169.82 / $354.81 / $660.69	Professional	AS	$169.82	$354.81	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,570.40	Professional		$1,174.90	$1,778.28	$2,570.40