Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.08 / $1,567.50 / $5,414.90	Facility		$436.08	$1,567.50	$5,414.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.84 / $415.13 / $603.20	Professional		$242.84	$415.13	$603.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $121.43 / $212.27 / $257.83	Professional	52	$121.43	$212.27	$257.83
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $48.57 / $84.91 / $103.13	Professional	53	$48.57	$84.91	$103.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,046.22 / $2,046.22 / $2,046.22	Facility		$2,046.22	$2,046.22	$2,046.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.41 / $292.31 / $564.14	Professional		$241.41	$292.31	$564.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.16 / $338.16 / $611.00	Facility		$338.16	$338.16	$611.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.32 / $434.36 / $901.49	Professional		$260.32	$434.36	$901.49
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $4,109.00 / $6,114.50 / $6,114.50	Facility		$4,109.00	$6,114.50	$6,114.50
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $231.35 / $321.95 / $403.97	Professional		$231.35	$321.95	$403.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $245.67 / $474.72 / $913.62	Professional		$245.67	$474.72	$913.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $273.04 / $3,570.13 / $5,625.57	Facility		$273.04	$3,570.13	$5,625.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $242.84 / $424.53 / $596.83	Professional		$242.84	$424.53	$596.83
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $121.43 / $235.38 / $301.60	Professional	52	$121.43	$235.38	$301.60
Martin's Point Facility/Professional Professional Modifier 53 Low / Median / High Price $48.57 / $94.15 / $120.64	Professional	53	$48.57	$94.15	$120.64
United Facility/Professional Professional Modifier Low / Median / High Price $405.99 / $642.90 / $879.16	Professional		$405.99	$642.90	$879.16