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 / $14,929.00	Facility		$100.00	$2,331.21	$14,929.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.39 / $531.39 / $569.42	Professional		$531.39	$531.39	$569.42
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 $575.12 / $575.12 / $735.15	Professional		$575.12	$575.12	$735.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $593.86 / $1,151.33 / $2,051.34	Professional		$593.86	$1,151.33	$2,051.34
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 $686.53 / $965.53 / $1,906.42	Professional		$686.53	$965.53	$1,906.42
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