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 $543.55 / $543.55 / $582.48	Professional		$543.55	$543.55	$582.48
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 $486.49 / $486.49 / $628.14	Professional		$486.49	$486.49	$628.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $542.37 / $1,051.51 / $1,873.48	Professional		$542.37	$1,051.51	$1,873.48
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 $673.44 / $936.63 / $1,951.44	Professional		$673.44	$936.63	$1,951.44
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