Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $912.01	Facility		$416.87	$660.69	$912.01
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $389.05 / $660.69 / $891.25	Facility	25	$389.05	$660.69	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $169.82	Professional		$51.29	$66.07	$169.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.79 / $177.83 / $575.44	Professional	25	$70.79	$177.83	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $204.17	Professional		$70.79	$102.33	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $194.98	Professional		$67.61	$91.20	$194.98
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $138.04	Professional		$81.28	$107.15	$138.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $194.98	Professional		$75.86	$120.23	$194.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $912.01	Facility		$416.87	$660.69	$912.01
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $389.05 / $660.69 / $891.25	Facility	25	$389.05	$660.69	$891.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $173.78	Professional		$52.48	$69.18	$173.78
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $67.61 / $165.96 / $537.03	Professional	25	$67.61	$165.96	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $154.88	Professional		$64.57	$89.13	$154.88