Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $9,375.00	Facility		$3,750.00	$3,750.00	$9,375.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,037.50 / $3,037.50 / $3,750.00	Professional		$3,037.50	$3,037.50	$3,750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,628.88 / $4,555.13 / $12,963.75	Facility		$3,628.88	$4,555.13	$12,963.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,437.50	Professional		$1,500.00	$1,500.00	$2,437.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,998.66 / $7,998.66 / $7,998.66	Facility		$7,998.66	$7,998.66	$7,998.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,375.40 / $3,794.93 / $3,963.00	Professional		$2,375.40	$3,794.93	$3,963.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,787.50	Professional		$3,750.00	$3,750.00	$3,787.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $9,375.00	Facility		$3,750.00	$3,750.00	$9,375.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,037.50 / $3,750.00 / $3,750.00	Professional		$3,037.50	$3,750.00	$3,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,752.18 / $2,250.00 / $5,110.53	Professional		$1,752.18	$2,250.00	$5,110.53