Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $99.41 / $344.24	Facility		$65.23	$99.41	$344.24
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $94.87 / $231.98 / $255.14	Facility	25	$94.87	$231.98	$255.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $68.19 / $124.34	Professional		$44.70	$68.19	$124.34
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $55.64 / $86.40 / $156.26	Professional	25	$55.64	$86.40	$156.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $92.05 / $139.69	Professional		$67.48	$92.05	$139.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $88.08 / $191.66	Facility		$71.40	$88.08	$191.66
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $55.05 / $55.05 / $55.05	Facility	62	$55.05	$55.05	$55.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.81 / $8.81 / $8.81	Facility	AS	$8.81	$8.81	$8.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $99.66 / $176.82	Professional		$57.00	$99.66	$176.82
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $138.00 / $186.39	Professional		$98.00	$138.00	$186.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $113.36 / $176.39	Professional		$81.20	$113.36	$176.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $95.25 / $223.55	Facility		$61.94	$95.25	$223.55
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $83.30 / $131.40 / $216.50	Facility	25	$83.30	$131.40	$216.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $68.20 / $127.73	Professional		$44.70	$68.20	$127.73
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $27.82 / $55.64 / $123.99	Professional	25	$27.82	$55.64	$123.99
United Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $100.83 / $184.13	Professional		$71.73	$100.83	$184.13