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 $967.59 / $967.59 / $1,036.74	Professional		$967.59	$967.59	$1,036.74
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 $594.21 / $594.21 / $594.21	Professional		$594.21	$594.21	$594.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $777.31 / $1,507.00 / $2,685.04	Professional		$777.31	$1,507.00	$2,685.04
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 $1,242.04 / $1,602.49 / $3,471.23	Professional		$1,242.04	$1,602.49	$3,471.23
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