Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $75.00 / $244.00	Professional		$12.93	$75.00	$244.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $21.47 / $21.47	Professional		$18.46	$21.47	$21.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $31.14 / $58.30	Professional		$18.89	$31.14	$58.30
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 $17.23 / $23.16 / $51.89	Professional		$17.23	$23.16	$51.89
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