Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.92 / $105.92 / $105.92	Facility		$105.92	$105.92	$105.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $105.92 / $123.03	Professional		$62.92	$105.92	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $27.71 / $30.41	Professional		$22.59	$27.71	$30.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $37.49 / $74.84	Professional		$21.99	$37.49	$74.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $174.37 / $307.73	Professional		$125.55	$174.37	$307.73
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