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 $260.02 / $329.89 / $353.45	Professional		$260.02	$329.89	$353.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $208.62 / $218.87	Professional		$160.63	$208.62	$218.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $409.77 / $654.26 / $1,149.78	Professional		$409.77	$654.26	$1,149.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.52 / $500.02 / $911.35	Professional		$372.52	$500.02	$911.35
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