Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.11 / $1,872.11 / $3,052.70	Facility		$312.11	$1,872.11	$3,052.70
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.17 / $87.17 / $286.93	Facility	53	$87.17	$87.17	$286.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $312.11 / $500.72	Professional		$175.23	$312.11	$500.72
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $52.13 / $92.90 / $286.93	Professional	53	$52.13	$92.90	$286.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.66 / $358.30 / $532.45	Professional		$224.66	$358.30	$532.45
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $139.69 / $174.22 / $324.29	Professional	53	$139.69	$174.22	$324.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.68 / $243.68 / $611.00	Facility		$243.68	$243.68	$611.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.94 / $194.94 / $194.94	Facility	52	$194.94	$194.94	$194.94
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.74 / $48.74 / $48.74	Facility	53	$48.74	$48.74	$48.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $226.30 / $401.66 / $722.63	Professional		$226.30	$401.66	$722.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $312.11 / $2,010.81 / $3,214.40	Facility		$312.11	$2,010.81	$3,214.40
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $87.17 / $87.17 / $286.93	Facility	53	$87.17	$87.17	$286.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $175.22 / $312.11 / $533.54	Professional		$175.22	$312.11	$533.54
Martin's Point Facility/Professional Professional Modifier 53 Low / Median / High Price $58.60 / $127.68 / $286.93	Professional	53	$58.60	$127.68	$286.93
United Facility/Professional Professional Modifier Low / Median / High Price $335.60 / $520.71 / $690.74	Professional		$335.60	$520.71	$690.74
United Facility/Professional Professional Modifier 53 Low / Median / High Price $133.22 / $133.22 / $256.42	Professional	53	$133.22	$133.22	$256.42