Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $97.03 / $107.40	Facility		$97.03	$97.03	$107.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $102.60 / $102.60 / $219.60	Facility	25	$102.60	$102.60	$219.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $107.40 / $185.08	Professional		$96.43	$107.40	$185.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $146.66 / $146.66 / $146.66	Professional	25	$146.66	$146.66	$146.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $153.46 / $227.63	Professional		$118.53	$153.46	$227.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $143.15	Facility		$143.15	$143.15	$143.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $147.27 / $246.74	Professional		$105.72	$147.27	$246.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $160.88 / $237.32	Professional		$131.08	$160.88	$237.32
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $102.60 / $102.60 / $219.60	Facility	25	$102.60	$102.60	$219.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $117.04 / $183.10	Professional		$97.03	$117.04	$183.10
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $146.66 / $146.66 / $146.66	Professional	25	$146.66	$146.66	$146.66
United Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $171.75 / $270.99	Professional		$120.04	$171.75	$270.99
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $85.00 / $90.00	Professional	25	$80.00	$85.00	$90.00