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 / $22,533.00	Facility		$100.00	$2,331.21	$22,533.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.14 / $609.14 / $656.76	Professional		$609.14	$609.14	$656.76
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 $677.43 / $956.55 / $1,335.82	Professional		$677.43	$956.55	$1,335.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $840.24 / $1,629.01 / $2,902.43	Professional		$840.24	$1,629.01	$2,902.43
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 $791.88 / $1,015.16 / $2,192.64	Professional		$791.88	$1,015.16	$2,192.64
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