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 $2,162.54 / $2,162.54 / $2,162.54	Professional		$2,162.54	$2,162.54	$2,162.54
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 $1,980.17 / $1,980.17 / $1,980.17	Professional		$1,980.17	$1,980.17	$1,980.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $9,099.32 / $17,371.84 / $29,962.08	Professional		$9,099.32	$17,371.84	$29,962.08
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 $1,288.39 / $2,934.16 / $7,581.04	Professional		$1,288.39	$2,934.16	$7,581.04
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