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 $577.60 / $577.60 / $577.60	Professional		$577.60	$577.60	$577.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.47 / $1,025.47 / $1,025.47	Professional		$1,025.47	$1,025.47	$1,025.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,079.48 / $2,140.62 / $3,554.50	Professional		$1,079.48	$2,140.62	$3,554.50
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.27 / $1,776.62 / $2,965.27	Professional		$1,074.27	$1,776.62	$2,965.27
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