Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $7,480.00	Facility		$3,520.00	$3,520.00	$7,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $3,520.00	Professional		$3,520.00	$3,520.00	$3,520.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,406.30 / $4,275.74 / $12,168.64	Facility		$3,406.30	$4,275.74	$12,168.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,408.00 / $1,408.00 / $2,288.00	Professional		$1,408.00	$1,408.00	$2,288.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,508.07 / $7,508.07 / $7,508.07	Facility		$7,508.07	$7,508.07	$7,508.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $4,044.92 / $5,056.14	Professional		$25.92	$4,044.92	$5,056.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $4,262.72	Professional		$3,520.00	$3,520.00	$4,262.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $5,702.40	Facility		$3,520.00	$3,520.00	$5,702.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $3,520.00	Professional		$3,520.00	$3,520.00	$3,520.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,112.00 / $2,112.00 / $5,104.00	Professional		$2,112.00	$2,112.00	$5,104.00