Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $102.33 / $316.23	Facility		$25.70	$102.33	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $338.84	Professional		$19.05	$37.15	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $128.82 / $138.04	Facility		$29.51	$128.82	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $18.62	Professional		$10.23	$15.14	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.48 / $57.54	Facility		$18.62	$35.48	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $36.31	Professional		$15.85	$25.70	$36.31
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $323.59	Professional		$25.70	$25.70	$323.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $30.90	Professional		$15.14	$25.70	$30.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $97.72 / $426.58	Facility		$25.70	$97.72	$426.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $91.20	Professional		$19.95	$33.11	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $25.70 / $35.48	Professional		$11.22	$25.70	$35.48