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 / $11,351.00	Facility		$100.00	$2,331.21	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.32 / $490.32 / $528.65	Professional		$490.32	$490.32	$528.65
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 $544.99 / $769.55 / $1,074.67	Professional		$544.99	$769.55	$1,074.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $541.60 / $1,050.03 / $1,870.85	Professional		$541.60	$1,050.03	$1,870.85
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 $637.41 / $867.87 / $1,870.85	Professional		$637.41	$867.87	$1,870.85
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