Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $192.00 / $192.00	Professional		$28.57	$192.00	$192.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $35.09 / $35.09	Professional		$34.79	$35.09	$35.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $36.27 / $91.48	Professional		$23.43	$36.27	$91.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $35.85 / $68.29	Professional		$21.04	$35.85	$68.29
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