Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $10,157.50	Facility		$4,780.00	$4,780.00	$10,157.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,871.80 / $3,871.80 / $3,871.80	Professional		$3,871.80	$3,871.80	$3,871.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,625.60 / $5,806.27 / $16,524.46	Facility		$4,625.60	$5,806.27	$16,524.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,868.00 / $3,107.00 / $3,824.00	Professional		$2,868.00	$3,107.00	$3,824.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,827.80	Professional		$4,780.00	$4,780.00	$4,827.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $7,743.60	Facility		$4,780.00	$4,780.00	$7,743.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,871.80 / $3,871.80 / $4,780.00	Professional		$3,871.80	$3,871.80	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,437.80 / $2,868.00 / $8,365.00	Professional		$2,437.80	$2,868.00	$8,365.00