Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.26 / $1,823.58 / $13,844.58	Facility		$408.26	$1,823.58	$13,844.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,690.72 / $7,690.72 / $7,690.72	Facility	50	$7,690.72	$7,690.72	$7,690.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.26 / $507.02 / $668.63	Professional		$408.26	$507.02	$668.63
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $204.14 / $253.51 / $367.98	Professional	52	$204.14	$253.51	$367.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.97 / $501.01 / $684.68	Professional		$330.97	$501.01	$684.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $496.45 / $761.10 / $1,027.02	Professional	50	$496.45	$761.10	$1,027.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.74 / $575.05 / $941.03	Professional		$385.74	$575.05	$941.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $294.76 / $455.10 / $668.70	Professional		$294.76	$455.10	$668.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,823.58 / $1,823.58 / $13,844.58	Facility		$1,823.58	$1,823.58	$13,844.58
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $7,690.72 / $7,690.72 / $7,690.72	Facility	50	$7,690.72	$7,690.72	$7,690.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $402.93 / $490.53 / $727.67	Professional		$402.93	$490.53	$727.67
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $204.14 / $253.51 / $367.98	Professional	52	$204.14	$253.51	$367.98
United Facility/Professional Facility Modifier Low / Median / High Price $6,295.00 / $6,295.00 / $6,295.00	Facility		$6,295.00	$6,295.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.54 / $847.41 / $1,004.34	Professional		$510.54	$847.41	$1,004.34