Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,852.77 / $2,325.67 / $6,067.40	Facility		$1,852.77	$2,325.67	$6,067.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,947.40 / $3,947.40	Professional		$3,870.00	$3,947.40	$3,947.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $4,729.38	Professional		$3,947.40	$3,947.40	$4,729.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $5,611.50	Professional		$3,870.00	$3,870.00	$5,611.50