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 $3,447.25 / $3,447.25 / $3,447.25	Professional		$3,447.25	$3,447.25	$3,447.25
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 $1,957.62 / $1,957.62 / $1,957.62	Professional		$1,957.62	$1,957.62	$1,957.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $6,099.11 / $11,824.58 / $21,068.00	Professional		$6,099.11	$11,824.58	$21,068.00
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 $1,094.17 / $2,285.57 / $8,332.60	Professional		$1,094.17	$2,285.57	$8,332.60
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