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 $402.75 / $430.77 / $518.59	Professional		$402.75	$430.77	$518.59
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 $172.08 / $279.10 / $394.83	Professional		$172.08	$279.10	$394.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $453.25 / $759.51 / $1,398.96	Professional		$453.25	$759.51	$1,398.96
United Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $3,360.00 / $7,448.00	Facility		$451.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.53 / $675.20 / $1,550.09	Professional		$493.53	$675.20	$1,550.09
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