Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.31 / $247.44 / $433.04	Facility		$49.31	$247.44	$433.04
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $78.84 / $159.04 / $458.09	Facility	CQ	$78.84	$159.04	$458.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $22.73 / $48.00	Professional		$12.00	$22.73	$48.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $32.04 / $55.94	Professional		$25.67	$32.04	$55.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $80.01 / $114.99	Professional		$30.01	$80.01	$114.99
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $342.50 / $371.70 / $371.70	Facility		$342.50	$371.70	$371.70
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $33.11 / $52.97	Professional		$21.83	$33.11	$52.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $36.69 / $60.63	Professional		$32.96	$36.69	$60.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.71 / $212.05 / $360.77	Facility		$35.71	$212.05	$360.77
Martin's Point Facility/Professional Facility Modifier CQ Low / Median / High Price $45.85 / $253.51 / $458.09	Facility	CQ	$45.85	$253.51	$458.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $32.42 / $49.06	Professional		$13.79	$32.42	$49.06
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $32.44 / $54.30	Professional		$25.37	$32.44	$54.30