Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $28.21 / $29.07	Professional		$19.93	$28.21	$29.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $47.40 / $68.09	Professional		$30.00	$47.40	$68.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $42.10 / $87.82	Professional		$26.66	$42.10	$87.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $39.60 / $76.22	Professional		$26.03	$39.60	$76.22
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