Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	50	$512.86	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $295.12	Professional		$104.71	$151.36	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	50	$169.82	$169.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $190.55	Professional		$104.71	$165.96	$190.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $251.19 / $281.84	Professional	50	$158.49	$251.19	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $275.42	Professional		$141.25	$229.09	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $257.04	Professional		$128.82	$165.96	$257.04
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	50	$512.86	$512.86	$512.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $295.12	Professional		$100.00	$177.83	$295.12
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	50	$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $234.42	Professional		$117.49	$169.82	$234.42