Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,863.00 / $3,468.85 / $4,743.09	Facility		$1,863.00	$3,468.85	$4,743.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,336.09	Professional		$1,214.63	$1,214.63	$1,336.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,755.51 / $3,755.51 / $3,755.51	Facility		$3,755.51	$3,755.51	$3,755.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,238.92 / $1,238.92	Professional		$1,214.63	$1,238.92	$1,238.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,457.56	Facility		$1,238.93	$1,238.93	$1,457.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,500.34	Professional		$1,238.93	$1,238.93	$1,500.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,381.54 / $3,381.54 / $3,643.90	Facility		$3,381.54	$3,381.54	$3,643.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,755.86	Professional		$1,214.63	$1,214.63	$1,755.86
United Facility/Professional Professional Modifier Low / Median / High Price $659.42 / $1,214.63 / $1,761.21	Professional		$659.42	$1,214.63	$1,761.21