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 $347.24 / $347.24 / $372.10	Professional		$347.24	$347.24	$372.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $566.39	Professional		$450.58	$450.58	$566.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $417.64 / $809.70 / $1,442.66	Professional		$417.64	$809.70	$1,442.66
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 $449.10 / $575.72 / $1,247.09	Professional		$449.10	$575.72	$1,247.09
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