Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.94 / $4,518.72 / $10,924.95	Facility		$1,149.94	$4,518.72	$10,924.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.73 / $1,149.94 / $1,267.11	Professional		$861.73	$1,149.94	$1,267.11
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $862.46 / $862.46 / $950.34	Professional	54	$862.46	$862.46	$950.34
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $172.49 / $172.49 / $190.07	Professional	55	$172.49	$172.49	$190.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.03 / $953.84 / $1,425.52	Professional		$761.03	$953.84	$1,425.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,553.94 / $1,553.94 / $1,553.94	Facility		$1,553.94	$1,553.94	$1,553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.10 / $1,336.84 / $1,600.09	Professional		$1,092.10	$1,336.84	$1,600.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $910.55 / $1,053.51 / $1,616.14	Professional		$910.55	$1,053.51	$1,616.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,414.69 / $5,740.80 / $10,924.95	Facility		$2,414.69	$5,740.80	$10,924.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $830.58 / $1,092.48 / $1,764.29	Professional		$830.58	$1,092.48	$1,764.29
Martin's Point Facility/Professional Professional Modifier 54 Low / Median / High Price $862.46 / $862.46 / $862.46	Professional	54	$862.46	$862.46	$862.46
Martin's Point Facility/Professional Professional Modifier 55 Low / Median / High Price $172.49 / $172.49 / $172.49	Professional	55	$172.49	$172.49	$172.49
United Facility/Professional Professional Modifier Low / Median / High Price $756.54 / $1,108.99 / $1,434.04	Professional		$756.54	$1,108.99	$1,434.04