Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $17,378.01	Facility		$3,890.45	$3,890.45	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $3,890.45	Professional		$2,089.30	$3,019.95	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $24,547.09 / $26,915.35	Facility		$4,466.84	$24,547.09	$26,915.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $3,715.35	Professional		$1,548.82	$2,344.23	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $3,890.45	Professional		$3,467.37	$3,890.45	$3,890.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,677.35	Professional		$3,890.45	$3,890.45	$4,677.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $6,309.57	Facility		$3,890.45	$3,890.45	$6,309.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $5,754.40	Professional		$2,570.40	$3,715.35	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,890.45 / $6,025.60	Professional		$2,344.23	$3,890.45	$6,025.60