Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $4,143.75	Facility		$1,950.00	$1,950.00	$4,143.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,421.55 / $1,421.55 / $1,421.55	Professional		$1,421.55	$1,421.55	$1,421.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,725.51 / $11,227.44 / $13,086.68	Facility		$9,725.51	$11,227.44	$13,086.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $702.00 / $1,491.75	Professional		$702.00	$702.00	$1,491.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,969.50	Professional		$1,950.00	$1,950.00	$1,969.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $3,159.00	Facility		$1,950.00	$1,950.00	$3,159.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,421.55 / $1,421.55 / $1,950.00	Professional		$1,421.55	$1,421.55	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,170.00 / $2,632.50	Professional		$1,053.00	$1,170.00	$2,632.50