Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,117.14 / $2,117.14 / $2,268.42	Professional		$2,117.14	$2,117.14	$2,268.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,992.00 / $32,007.54 / $55,801.76	Facility		$9,992.00	$32,007.54	$55,801.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,154.87 / $3,042.80 / $4,249.27	Professional		$2,154.87	$3,042.80	$4,249.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,721.10 / $3,285.81 / $5,667.20	Professional		$1,721.10	$3,285.81	$5,667.20
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 $2,317.26 / $3,277.73 / $7,595.10	Professional		$2,317.26	$3,277.73	$7,595.10
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