Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.75 / $119.70 / $155.40	Facility		$118.75	$119.70	$155.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $366.06 / $366.06 / $366.06	Facility	25	$366.06	$366.06	$366.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $143.72 / $264.83	Professional		$109.12	$143.72	$264.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $97.77 / $153.05 / $205.00	Professional	25	$97.77	$153.05	$205.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $169.57 / $253.91	Professional		$134.96	$169.57	$253.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $160.35 / $204.86 / $369.85	Professional		$160.35	$204.86	$369.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Facility		$119.70	$119.70	$119.70
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $366.06 / $366.06 / $366.06	Facility	25	$366.06	$366.06	$366.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $155.40 / $268.37	Professional		$118.75	$155.40	$268.37
United Facility/Professional Professional Modifier Low / Median / High Price $160.09 / $231.25 / $336.01	Professional		$160.09	$231.25	$336.01