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 $1,310.19 / $1,310.19 / $1,403.71	Professional		$1,310.19	$1,310.19	$1,403.71
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 $4,724.64 / $4,724.64 / $4,724.64	Professional		$4,724.64	$4,724.64	$4,724.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,451.58 / $2,879.64 / $4,781.64	Professional		$1,451.58	$2,879.64	$4,781.64
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 $1,651.94 / $2,391.15 / $5,164.58	Professional		$1,651.94	$2,391.15	$5,164.58
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