Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $1,530.00	Facility		$720.00	$720.00	$1,530.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Professional		$720.00	$720.00	$720.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,989.95 / $4,606.13 / $5,368.90	Facility		$3,989.95	$4,606.13	$5,368.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $288.00 / $612.00	Professional		$288.00	$288.00	$612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $827.24 / $1,034.05	Professional		$827.24	$827.24	$1,034.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $871.92	Professional		$720.00	$720.00	$871.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $1,166.40	Facility		$720.00	$720.00	$1,166.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Professional		$720.00	$720.00	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $1,044.00	Professional		$432.00	$432.00	$1,044.00