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 $228.11 / $228.11 / $245.96	Professional		$228.11	$228.11	$245.96
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 $256.64 / $362.45 / $506.16	Professional		$256.64	$362.45	$506.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $248.68 / $482.13 / $859.02	Professional		$248.68	$482.13	$859.02
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.54 / $429.66 / $859.02	Professional		$296.54	$429.66	$859.02
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