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 $848.53 / $848.53 / $922.38	Professional		$848.53	$848.53	$922.38
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 $420.83 / $420.83 / $547.88	Professional		$420.83	$420.83	$547.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $423.74 / $821.52 / $1,463.72	Professional		$423.74	$821.52	$1,463.72
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 $978.10 / $1,463.72 / $3,193.95	Professional		$978.10	$1,463.72	$3,193.95
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