Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.38 / $844.03 / $4,205.63	Facility		$228.38	$844.03	$4,205.63
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,942.00 / $1,942.00 / $1,942.00	Facility	52	$1,942.00	$1,942.00	$1,942.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $111.54 / $198.17 / $234.75	Facility	53	$111.54	$198.17	$234.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.61 / $347.01 / $504.89	Professional		$203.61	$347.01	$504.89
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $54.03 / $111.54 / $228.59	Professional	53	$54.03	$111.54	$228.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,582.22 / $1,582.22 / $1,582.22	Facility		$1,582.22	$1,582.22	$1,582.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.22 / $269.35 / $518.70	Professional		$222.22	$269.35	$518.70
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $118.74 / $173.57 / $226.25	Professional	53	$118.74	$173.57	$226.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.83 / $310.83 / $611.00	Facility		$310.83	$310.83	$611.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $248.66 / $248.66 / $248.66	Facility	52	$248.66	$248.66	$248.66
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.17 / $62.17 / $62.17	Facility	53	$62.17	$62.17	$62.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.53 / $395.54 / $701.41	Professional		$239.53	$395.54	$701.41
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $2,673.50 / $2,673.50 / $2,673.50	Facility		$2,673.50	$2,673.50	$2,673.50
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $212.71 / $296.02 / $371.43	Professional		$212.71	$296.02	$371.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $225.89 / $400.93 / $721.92	Professional		$225.89	$400.93	$721.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $396.08 / $3,179.89 / $5,297.29	Facility		$396.08	$3,179.89	$5,297.29
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $1,942.00 / $1,942.00 / $1,942.00	Facility	52	$1,942.00	$1,942.00	$1,942.00
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $111.54 / $198.17 / $234.75	Facility	53	$111.54	$198.17	$234.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $222.27 / $359.26 / $504.89	Professional		$222.27	$359.26	$504.89
Martin's Point Facility/Professional Professional Modifier 53 Low / Median / High Price $65.09 / $137.25 / $228.65	Professional	53	$65.09	$137.25	$228.65
United Facility/Professional Professional Modifier Low / Median / High Price $335.36 / $506.03 / $687.46	Professional		$335.36	$506.03	$687.46
United Facility/Professional Professional Modifier 53 Low / Median / High Price $133.22 / $133.22 / $256.89	Professional	53	$133.22	$133.22	$256.89