Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $785.60 / $785.60 / $785.60	Facility	50	$785.60	$785.60	$785.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.56 / $318.02 / $393.41	Professional		$258.56	$318.02	$393.41
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $238.52 / $265.02 / $293.13	Professional	54	$238.52	$265.02	$293.13
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $47.70 / $49.69 / $58.63	Professional	55	$47.70	$49.69	$58.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $262.95 / $337.03	Professional		$206.78	$262.95	$337.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $310.17 / $394.44 / $497.40	Professional	50	$310.17	$394.44	$497.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.64 / $531.64 / $531.64	Facility		$531.64	$531.64	$531.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.27 / $391.28 / $499.21	Professional		$312.27	$391.28	$499.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $251.03 / $300.76 / $466.29	Professional		$251.03	$300.76	$466.29
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $785.60 / $785.60 / $785.60	Facility	50	$785.60	$785.60	$785.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $318.01 / $404.45	Professional		$243.49	$318.01	$404.45
Martin's Point Facility/Professional Professional Modifier 54 Low / Median / High Price $238.52 / $254.42 / $303.66	Professional	54	$238.52	$254.42	$303.66
Martin's Point Facility/Professional Professional Modifier 55 Low / Median / High Price $47.70 / $47.70 / $56.94	Professional	55	$47.70	$47.70	$56.94
United Facility/Professional Professional Modifier Low / Median / High Price $249.72 / $374.58 / $487.50	Professional		$249.72	$374.58	$487.50