Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $6,800.00	Facility		$3,200.00	$3,200.00	$6,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Professional		$2,592.00	$2,592.00	$2,592.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $2,080.00	Professional		$1,148.40	$1,148.40	$2,080.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,232.00	Professional		$3,200.00	$3,200.00	$3,232.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $5,184.00	Facility		$3,200.00	$3,200.00	$5,184.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $3,200.00	Professional		$2,592.00	$2,592.00	$3,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,920.00 / $1,920.00 / $4,640.00	Professional		$1,920.00	$1,920.00	$4,640.00