Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $2,625.00	Facility		$1,050.00	$1,050.00	$2,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.50 / $850.50 / $1,050.00	Professional		$850.50	$850.50	$1,050.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.09 / $1,275.44 / $3,629.85	Facility		$1,016.09	$1,275.44	$3,629.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $420.00 / $682.50	Professional		$420.00	$420.00	$682.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,239.62 / $2,239.62 / $2,239.62	Facility		$2,239.62	$2,239.62	$2,239.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.84 / $1,109.60 / $1,507.97	Professional		$942.84	$1,109.60	$1,507.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,060.50	Professional		$1,050.00	$1,050.00	$1,060.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $2,625.00	Facility		$1,050.00	$1,050.00	$2,625.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $850.50 / $1,050.00 / $1,050.00	Professional		$850.50	$1,050.00	$1,050.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.41 / $630.00 / $1,511.41	Professional		$625.41	$630.00	$1,511.41