Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $9,859.00	Facility		$100.00	$1,749.77	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.21 / $749.38 / $749.39	Professional		$336.21	$749.38	$749.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $161.91 / $161.91	Professional		$161.91	$161.91	$161.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $506.59 / $663.36 / $1,566.02	Professional		$506.59	$663.36	$1,566.02
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 $58.50 / $69.14 / $290.75	Professional		$58.50	$69.14	$290.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $3,000.00 / $4,410.00	Professional		$2,500.00	$3,000.00	$4,410.00