Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $189.84 / $231.91	Facility		$66.59	$189.84	$231.91
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $189.84 / $189.84 / $205.01	Facility	25	$189.84	$189.84	$205.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $66.30 / $94.24	Professional		$43.96	$66.30	$94.24
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.21 / $90.79 / $147.32	Professional	25	$56.21	$90.79	$147.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.39 / $88.87 / $113.40	Professional		$59.39	$88.87	$113.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $62.64 / $191.66	Facility		$62.64	$62.64	$191.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.23 / $80.80 / $139.15	Professional		$52.23	$80.80	$139.15
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $104.81 / $104.81	Professional		$104.81	$104.81	$104.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $89.04 / $138.55	Professional		$57.71	$89.04	$138.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $64.40 / $100.28	Facility		$43.97	$64.40	$100.28
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $102.60 / $102.60 / $102.60	Facility	25	$102.60	$102.60	$102.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $66.59 / $100.52	Professional		$43.96	$66.59	$100.52
United Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $102.89 / $146.43	Professional		$70.19	$102.89	$146.43