Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,619.20 / $3,619.20 / $3,900.00	Facility		$3,619.20	$3,619.20	$3,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.20 / $1,326.00 / $1,560.00	Professional		$1,279.20	$1,326.00	$1,560.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.24 / $411.53 / $1,173.09	Facility		$329.24	$411.53	$1,173.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,326.00 / $1,326.00	Professional		$1,300.00	$1,326.00	$1,326.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $1,326.00 / $1,326.00	Facility		$356.22	$1,326.00	$1,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Professional		$1,326.00	$1,326.00	$1,326.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $370.18 / $370.18	Professional		$370.18	$370.18	$370.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,619.20 / $3,619.20 / $3,900.00	Facility		$3,619.20	$3,619.20	$3,900.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $347.84 / $1,326.00 / $1,560.00	Professional		$347.84	$1,326.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,300.00 / $1,885.00	Professional		$1,105.00	$1,300.00	$1,885.00