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 $616.36 / $648.79 / $648.79	Professional		$616.36	$648.79	$648.79
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 $1,529.15 / $1,529.15 / $1,529.15	Professional		$1,529.15	$1,529.15	$1,529.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $8,778.12 / $17,018.48 / $30,322.02	Professional		$8,778.12	$17,018.48	$30,322.02
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 $557.26 / $1,701.32 / $4,752.75	Professional		$557.26	$1,701.32	$4,752.75
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