Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $11,950.00	Facility		$4,780.00	$4,780.00	$11,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,871.80 / $3,871.80 / $4,780.00	Professional		$3,871.80	$3,871.80	$4,780.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,625.60 / $5,806.27 / $16,524.46	Facility		$4,625.60	$5,806.27	$16,524.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,912.00 / $2,103.19 / $3,107.00	Professional		$1,912.00	$2,103.19	$3,107.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,195.62 / $10,195.62 / $10,195.62	Facility		$10,195.62	$10,195.62	$10,195.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,292.45 / $5,051.76 / $6,865.61	Professional		$4,292.45	$5,051.76	$6,865.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,827.80	Professional		$4,780.00	$4,780.00	$4,827.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $11,950.00	Facility		$4,780.00	$4,780.00	$11,950.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,871.80 / $4,780.00 / $4,780.00	Professional		$3,871.80	$4,780.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,868.00 / $2,868.00 / $6,931.00	Professional		$2,868.00	$2,868.00	$6,931.00