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 $369.90 / $369.90 / $402.12	Professional		$369.90	$369.90	$402.12
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 $398.98 / $398.98 / $480.07	Professional		$398.98	$398.98	$480.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $421.84 / $817.83 / $1,457.14	Professional		$421.84	$817.83	$1,457.14
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 $501.40 / $642.77 / $1,392.33	Professional		$501.40	$642.77	$1,392.33
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