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 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.20 / $1,059.20 / $1,214.06	Professional		$1,059.20	$1,059.20	$1,214.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,334.70 / $11,483.00 / $21,862.00	Facility		$10,334.70	$11,483.00	$21,862.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,330.34 / $1,368.48 / $1,368.48	Professional		$1,330.34	$1,368.48	$1,368.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,653.36 / $2,700.01 / $5,347.70	Professional		$1,653.36	$2,700.01	$5,347.70
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 $1,352.34 / $1,762.78 / $3,413.30	Professional		$1,352.34	$1,762.78	$3,413.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $858.77 / $944.65 / $1,202.28	Professional		$858.77	$944.65	$1,202.28