Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $7,809.38	Facility		$3,675.00	$3,675.00	$7,809.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $3,675.00	Professional		$3,675.00	$3,675.00	$3,675.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,365.38 / $23,510.45 / $27,403.74	Facility		$20,365.38	$23,510.45	$27,403.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $1,470.00 / $3,123.75	Professional		$1,470.00	$1,470.00	$3,123.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $3,711.75	Professional		$3,675.00	$3,675.00	$3,711.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $5,953.50	Facility		$3,675.00	$3,675.00	$5,953.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $3,675.00	Professional		$3,675.00	$3,675.00	$3,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,874.25 / $2,205.00 / $6,431.25	Professional		$1,874.25	$2,205.00	$6,431.25