Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $8,100.00	Facility		$3,240.00	$3,240.00	$8,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,624.40 / $2,624.40 / $3,240.00	Professional		$2,624.40	$2,624.40	$3,240.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,135.35 / $3,935.63 / $11,200.68	Facility		$3,135.35	$3,935.63	$11,200.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $2,106.00	Professional		$1,296.00	$1,296.00	$2,106.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,910.84 / $6,910.84 / $6,910.84	Facility		$6,910.84	$6,910.84	$6,910.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,052.39 / $3,279.03 / $3,423.92	Professional		$2,052.39	$3,279.03	$3,423.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $3,272.40	Professional		$3,240.00	$3,240.00	$3,272.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $8,100.00	Facility		$3,240.00	$3,240.00	$8,100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,624.40 / $3,240.00 / $3,240.00	Professional		$2,624.40	$3,240.00	$3,240.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,704.45 / $1,944.00 / $4,261.13	Professional		$1,704.45	$1,944.00	$4,261.13