Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.21 / $508.92 / $713.60	Facility		$56.21	$508.92	$713.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $284.45 / $656.84 / $709.27	Facility	25	$284.45	$656.84	$709.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $64.23 / $96.86	Professional		$52.00	$64.23	$96.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $631.35 / $631.35 / $631.35	Professional	25	$631.35	$631.35	$631.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $88.45 / $134.16	Professional		$73.02	$88.45	$134.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,157.06 / $1,157.06 / $1,157.06	Facility		$1,157.06	$1,157.06	$1,157.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $90.82 / $156.43	Professional		$69.68	$90.82	$156.43
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $1,531.56 / $1,531.56 / $1,531.56	Facility		$1,531.56	$1,531.56	$1,531.56
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $119.44 / $143.01	Professional		$88.73	$119.44	$143.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $100.62 / $135.33	Professional		$86.43	$100.62	$135.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $402.05 / $402.05 / $911.77	Facility		$402.05	$402.05	$911.77
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $389.70 / $425.70 / $889.20	Facility	25	$389.70	$425.70	$889.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $63.74 / $101.98	Professional		$52.00	$63.74	$101.98
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $631.35 / $631.35 / $631.35	Professional	25	$631.35	$631.35	$631.35
United Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $87.39 / $142.32	Professional		$63.87	$87.39	$142.32