Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.03 / $818.72 / $5,091.22	Facility		$218.03	$818.72	$5,091.22
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $3,466.96 / $3,466.96 / $3,466.96	Facility	52	$3,466.96	$3,466.96	$3,466.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.93 / $304.72 / $488.84	Professional		$161.93	$304.72	$488.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.77 / $367.59 / $717.24	Professional		$167.77	$367.59	$717.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $611.00	Facility		$232.12	$232.12	$611.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.23 / $355.22 / $740.35	Professional		$180.23	$355.22	$740.35
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $4,008.20 / $4,008.20 / $6,411.00	Facility		$4,008.20	$4,008.20	$6,411.00
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $221.48 / $277.89	Professional		$159.13	$221.48	$277.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $408.81 / $786.77	Professional		$169.00	$408.81	$786.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $218.03 / $3,001.63 / $6,439.55	Facility		$218.03	$3,001.63	$6,439.55
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $3,466.96 / $3,466.96 / $3,466.96	Facility	52	$3,466.96	$3,466.96	$3,466.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.78 / $315.47 / $514.97	Professional		$165.78	$315.47	$514.97
United Facility/Professional Professional Modifier Low / Median / High Price $326.86 / $543.33 / $765.98	Professional		$326.86	$543.33	$765.98