Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $52.38 / $113.29	Facility		$17.94	$52.38	$113.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $13.77 / $26.98	Professional		$11.46	$13.77	$26.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.89 / $6.89 / $7.67	Professional	52	$6.89	$6.89	$7.67
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.75 / $2.75 / $3.07	Professional	53	$2.75	$2.75	$3.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $19.51 / $29.98	Professional		$15.58	$19.51	$29.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $23.37 / $29.27 / $44.97	Professional	50	$23.37	$29.27	$44.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $21.51 / $33.51	Professional		$17.03	$21.51	$33.51
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $31.85	Professional		$25.38	$25.38	$31.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $22.41 / $34.38	Professional		$17.39	$22.41	$34.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $52.38 / $153.00	Facility		$17.94	$52.38	$153.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.76 / $24.15	Professional		$13.73	$13.76	$24.15
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $6.89 / $6.89 / $7.67	Professional	52	$6.89	$6.89	$7.67
Martin's Point Facility/Professional Professional Modifier 53 Low / Median / High Price $2.75 / $2.75 / $3.07	Professional	53	$2.75	$2.75	$3.07
United Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $20.53 / $30.85	Professional		$15.84	$20.53	$30.85