Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $10,625.00	Facility		$5,000.00	$5,000.00	$10,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,050.00 / $4,050.00 / $4,050.00	Professional		$4,050.00	$4,050.00	$4,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $3,250.00	Professional		$2,000.00	$2,000.00	$3,250.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $5,050.00	Professional		$5,000.00	$5,000.00	$5,050.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $8,100.00	Facility		$5,000.00	$5,000.00	$8,100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,050.00 / $4,050.00 / $5,000.00	Professional		$4,050.00	$4,050.00	$5,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $7,500.00	Professional		$3,000.00	$3,000.00	$7,500.00