Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.28 / $406.94 / $440.90	Facility		$103.28	$406.94	$440.90
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $576.90 / $876.45 / $999.90	Facility	25	$576.90	$876.45	$999.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $120.72 / $174.40	Professional		$100.81	$120.72	$174.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $235.56 / $237.42 / $1,001.93	Professional	25	$235.56	$237.42	$1,001.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.93 / $156.51 / $228.26	Professional		$124.93	$156.51	$228.26
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 $117.85 / $156.88 / $264.57	Professional		$117.85	$156.88	$264.57
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $6,594.95 / $6,594.95 / $6,594.95	Facility		$6,594.95	$6,594.95	$6,594.95
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $203.79 / $244.01	Professional		$151.38	$203.79	$244.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.46 / $171.69 / $238.92	Professional		$147.46	$171.69	$238.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $612.85 / $612.85 / $612.85	Facility		$612.85	$612.85	$612.85
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $576.90 / $916.23 / $999.90	Facility	25	$576.90	$916.23	$999.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $121.09 / $174.40	Professional		$103.28	$121.09	$174.40
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $1,001.93 / $1,001.93 / $1,001.93	Professional	25	$1,001.93	$1,001.93	$1,001.93
United Facility/Professional Professional Modifier Low / Median / High Price $118.72 / $165.84 / $257.36	Professional		$118.72	$165.84	$257.36