Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $537.03	Professional		$39.81	$54.95	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $218.78	Professional		$64.57	$104.71	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $69.18 / $131.83	Professional		$35.48	$69.18	$131.83
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89