Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $7,650.00	Facility		$3,600.00	$3,600.00	$7,650.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,916.00 / $2,916.00 / $2,916.00	Professional		$2,916.00	$2,916.00	$2,916.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,483.72 / $4,372.92 / $12,445.20	Facility		$3,483.72	$4,372.92	$12,445.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,584.00 / $2,877.60	Professional		$1,440.00	$1,584.00	$2,877.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,636.00	Professional		$3,600.00	$3,600.00	$3,636.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $5,832.00	Facility		$3,600.00	$3,600.00	$5,832.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,916.00 / $2,916.00 / $3,600.00	Professional		$2,916.00	$2,916.00	$3,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $5,400.00	Professional		$2,160.00	$2,160.00	$5,400.00