Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,884.03 / $5,754.40	Facility		$524.81	$2,884.03	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,000.00	Professional		$251.19	$478.63	$1,000.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $104.71 / $109.65 / $181.97	Professional	53	$104.71	$109.65	$181.97
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 $223.87 / $426.58 / $758.58	Professional		$223.87	$426.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $616.60	Facility		$426.58	$426.58	$616.60
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	22	$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	52	$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	53	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $1,023.29	Professional		$295.12	$524.81	$1,023.29
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $6,309.57	Facility		$5,370.32	$5,370.32	$6,309.57
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $512.86	Professional		$288.40	$407.38	$512.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $1,318.26	Professional		$275.42	$616.60	$1,318.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,884.03 / $5,754.40	Facility		$338.84	$2,884.03	$5,754.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $537.03 / $1,096.48	Professional		$281.84	$537.03	$1,096.48
Martin's Point Facility/Professional Professional Modifier 53 Low / Median / High Price $104.71 / $128.82 / $181.97	Professional	53	$104.71	$128.82	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $954.99	Professional		$275.42	$501.19	$954.99