Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $263.03 / $331.13	Facility		$109.65	$263.03	$331.13
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	52	$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $72.44	Professional		$30.20	$37.15	$72.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	52	$33.88	$33.88	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $69.18	Professional		$34.67	$40.74	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $72.44	Professional		$33.11	$45.71	$72.44
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $74.13	Professional		$54.95	$70.79	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $67.61	Professional		$23.99	$38.90	$67.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $190.55 / $309.03	Facility		$109.65	$190.55	$309.03
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	52	$147.91	$147.91	$147.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $79.43	Professional		$32.36	$39.81	$79.43
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	52	$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $69.18	Professional		$28.84	$41.69	$69.18