Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $30,000.00	Facility		$12,000.00	$12,000.00	$30,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,720.00 / $9,720.00 / $12,000.00	Professional		$9,720.00	$9,720.00	$12,000.00
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 $2,693.70 / $4,800.00 / $7,800.00	Professional		$2,693.70	$4,800.00	$7,800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25,595.70 / $25,595.70 / $25,595.70	Facility		$25,595.70	$25,595.70	$25,595.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,776.08 / $12,681.89 / $17,236.56	Professional		$10,776.08	$12,681.89	$17,236.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $12,120.00	Professional		$12,000.00	$12,000.00	$12,120.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $30,000.00	Facility		$12,000.00	$12,000.00	$30,000.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9,720.00 / $12,000.00 / $12,000.00	Professional		$9,720.00	$12,000.00	$12,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,200.00 / $7,200.00 / $17,400.00	Professional		$7,200.00	$7,200.00	$17,400.00