Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $11,351.00	Facility		$100.00	$2,331.21	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $7,662.23 / $7,662.23	Professional		$1,007.42	$7,662.23	$7,662.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,004.73 / $2,004.73 / $2,004.73	Professional		$2,004.73	$2,004.73	$2,004.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $5,887.43 / $11,414.18 / $20,336.78	Professional		$5,887.43	$11,414.18	$20,336.78
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.48 / $2,962.15 / $7,584.96	Professional		$1,288.48	$2,962.15	$7,584.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00