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 / $22,533.00	Facility		$100.00	$2,331.21	$22,533.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.54 / $1,090.54 / $1,168.39	Professional		$1,090.54	$1,090.54	$1,168.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,398.87 / $3,398.87 / $3,398.87	Professional		$3,398.87	$3,398.87	$3,398.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,109.05 / $2,200.13 / $3,653.32	Professional		$1,109.05	$2,200.13	$3,653.32
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,370.20 / $1,791.87 / $3,272.67	Professional		$1,370.20	$1,791.87	$3,272.67
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