Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $1,615.00	Facility		$760.00	$760.00	$1,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.60 / $615.60 / $615.60	Professional		$615.60	$615.60	$615.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.45 / $1,117.20 / $5,437.65	Facility		$735.45	$1,117.20	$5,437.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $646.00	Professional		$304.00	$304.00	$646.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $767.60	Professional		$760.00	$760.00	$767.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $1,231.20	Facility		$760.00	$760.00	$1,231.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $615.60 / $615.60 / $760.00	Professional		$615.60	$615.60	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.60 / $456.00 / $1,330.00	Professional		$387.60	$456.00	$1,330.00