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 $715.13 / $715.13 / $777.33	Professional		$715.13	$715.13	$777.33
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 $2,017.93 / $2,017.93 / $2,017.93	Professional		$2,017.93	$2,017.93	$2,017.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $555.36 / $922.18	Professional		$279.95	$555.36	$922.18
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 $662.03 / $1,193.07 / $2,442.71	Professional		$662.03	$1,193.07	$2,442.71
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