Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $776.25 / $4,073.80	Facility		$0.93	$776.25	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $389.05 / $794.33	Professional		$64.57	$389.05	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $354.81 / $630.96	Professional		$181.97	$354.81	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $616.60	Facility		$338.84	$338.84	$616.60
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $436.52 / $977.24	Professional		$223.87	$436.52	$977.24
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $588.84 / $1,288.25	Professional		$223.87	$588.84	$1,288.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $707.95 / $4,073.80	Facility		$0.93	$707.95	$4,073.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $933.25	Professional		$204.17	$446.68	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $436.52 / $912.01	Professional		$218.78	$436.52	$912.01