Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.44 / $172.44 / $172.44	Professional		$172.44	$172.44	$172.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,159.71 / $2,937.55 / $4,967.00	Facility		$1,159.71	$2,937.55	$4,967.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.33 / $256.89 / $256.89	Professional		$250.33	$256.89	$256.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $695.33 / $1,327.48 / $2,289.56	Professional		$695.33	$1,327.48	$2,289.56
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.79 / $803.78 / $2,058.17	Professional		$504.79	$803.78	$2,058.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $291.69 / $320.86 / $408.37	Professional		$291.69	$320.86	$408.37