Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $1,900.00	Facility		$760.00	$760.00	$1,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.60 / $615.60 / $760.00	Professional		$615.60	$615.60	$760.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.45 / $1,117.20 / $4,307.97	Facility		$735.45	$1,117.20	$4,307.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $571.99	Professional		$304.00	$304.00	$571.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.06 / $1,621.06 / $1,621.06	Facility		$1,621.06	$1,621.06	$1,621.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.44 / $757.67 / $803.13	Professional		$481.44	$757.67	$803.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $767.60	Professional		$760.00	$760.00	$767.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $1,900.00	Facility		$760.00	$760.00	$1,900.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $615.60 / $760.00 / $760.00	Professional		$615.60	$760.00	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $456.00 / $1,053.68	Professional		$361.26	$456.00	$1,053.68