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 $366.43 / $366.43 / $392.67	Professional		$366.43	$366.43	$392.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $65.02 / $86.95	Professional		$65.02	$65.02	$86.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $768.15 / $1,489.25 / $2,653.41	Professional		$768.15	$1,489.25	$2,653.41
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.42 / $606.90 / $1,314.64	Professional		$473.42	$606.90	$1,314.64
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