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 / $10,670.00	Facility		$100.00	$2,331.21	$10,670.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.40 / $625.40 / $679.83	Professional		$625.40	$625.40	$679.83
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 $500.08 / $500.08 / $652.24	Professional		$500.08	$500.08	$652.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $494.31 / $958.33 / $1,707.47	Professional		$494.31	$958.33	$1,707.47
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 $841.77 / $1,086.75 / $2,354.05	Professional		$841.77	$1,086.75	$2,354.05
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