Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $9,000.00	Facility		$3,600.00	$3,600.00	$9,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,916.00 / $2,916.00 / $3,600.00	Professional		$2,916.00	$2,916.00	$3,600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,483.72 / $5,292.00 / $25,757.28	Facility		$3,483.72	$5,292.00	$25,757.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $3,420.00	Professional		$1,440.00	$1,440.00	$3,420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,358.48 / $3,643.04 / $4,605.72	Professional		$2,358.48	$3,643.04	$4,605.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,636.00	Professional		$3,600.00	$3,600.00	$3,636.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $9,000.00	Facility		$3,600.00	$3,600.00	$9,000.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,916.00 / $3,600.00 / $3,600.00	Professional		$2,916.00	$3,600.00	$3,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $2,160.00 / $5,400.00	Professional		$1,836.00	$2,160.00	$5,400.00