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 $509.84 / $632.79 / $687.86	Professional		$509.84	$632.79	$687.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $60.85 / $60.85	Professional		$43.85	$60.85	$60.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $616.54 / $1,195.51 / $1,902.98	Professional		$616.54	$1,195.51	$1,902.98
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 $746.24 / $1,055.70 / $2,219.44	Professional		$746.24	$1,055.70	$2,219.44
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