Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $94.00 / $94.00	Facility		$94.00	$94.00	$94.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $94.00 / $94.00	Professional		$94.00	$94.00	$94.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $256.74 / $443.85	Professional		$256.74	$256.74	$443.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $115.21 / $219.94 / $379.35	Professional		$115.21	$219.94	$379.35
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 $43.62 / $55.91 / $121.11	Professional		$43.62	$55.91	$121.11
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