Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $77.37 / $200.00	Facility		$26.28	$77.37	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $33.18 / $61.79	Professional		$23.91	$33.18	$61.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $73.40 / $73.40 / $73.40	Professional	25	$73.40	$73.40	$73.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.19 / $13.93 / $19.43	Professional	52	$12.19	$13.93	$19.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $40.14 / $59.44	Professional		$28.38	$40.14	$59.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $48.23 / $85.60	Professional		$33.39	$48.23	$85.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.12 / $125.85 / $200.00	Facility		$77.12	$125.85	$200.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $37.06 / $62.60	Professional		$26.28	$37.06	$62.60
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $12.99 / $16.97 / $19.26	Professional	52	$12.99	$16.97	$19.26
United Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $52.66 / $79.03	Professional		$36.32	$52.66	$79.03