Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $9,859.00	Facility		$100.00	$1,749.77	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Professional		$640.00	$640.00	$640.00
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 $139.50 / $139.50 / $139.50	Professional		$139.50	$139.50	$139.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $244.77 / $485.57 / $806.30	Professional		$244.77	$485.57	$806.30
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 $278.06 / $378.94 / $640.25	Professional		$278.06	$378.94	$640.25
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