Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $6,438.75	Facility		$3,030.00	$3,030.00	$6,438.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,818.00 / $1,818.00 / $1,818.00	Professional		$1,818.00	$1,818.00	$1,818.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,791.05 / $19,384.12 / $22,594.10	Facility		$16,791.05	$19,384.12	$22,594.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,212.00 / $1,212.00 / $2,575.50	Professional		$1,212.00	$1,212.00	$2,575.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,060.30	Professional		$3,030.00	$3,030.00	$3,060.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $4,908.60	Facility		$3,030.00	$3,030.00	$4,908.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,818.00 / $1,818.00 / $3,030.00	Professional		$1,818.00	$1,818.00	$3,030.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,545.30 / $1,818.00 / $5,302.50	Professional		$1,545.30	$1,818.00	$5,302.50