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 / $11,351.00	Facility		$100.00	$2,331.21	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $555.49 / $595.16	Professional		$302.95	$555.49	$595.16
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 $1,098.74 / $1,098.74 / $1,650.48	Professional		$1,098.74	$1,098.74	$1,650.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $520.55 / $850.12 / $1,683.74	Professional		$520.55	$850.12	$1,683.74
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 $524.84 / $625.20 / $1,284.90	Professional		$524.84	$625.20	$1,284.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $302.13 / $332.34 / $422.98	Professional		$302.13	$332.34	$422.98