Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,012.41 / $5,036.56 / $13,139.75	Facility		$4,012.41	$5,036.56	$13,139.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,825.00 / $3,825.00	Professional		$3,750.00	$3,825.00	$3,825.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $4,582.72	Professional		$3,825.00	$3,825.00	$4,582.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $5,437.50	Professional		$3,750.00	$3,750.00	$5,437.50