Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $371.47	Facility		$174.81	$174.81	$371.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.16 / $212.34 / $604.32	Facility		$169.16	$212.34	$604.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $76.91 / $166.06	Professional		$69.92	$76.91	$166.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $176.56	Professional		$174.81	$174.81	$176.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $283.19	Facility		$174.81	$174.81	$283.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $174.81	Professional		$141.60	$141.60	$174.81
United Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $104.89 / $262.22	Professional		$89.15	$104.89	$262.22