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 / $15,774.00	Facility		$100.00	$2,331.21	$15,774.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,578.79 / $1,578.79 / $1,716.18	Professional		$1,578.79	$1,578.79	$1,716.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.16 / $1,528.33 / $5,545.63	Professional		$914.16	$1,528.33	$5,545.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,666.72 / $3,306.44 / $5,490.34	Professional		$1,666.72	$3,306.44	$5,490.34
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,140.07 / $3,097.28 / $11,065.87	Professional		$2,140.07	$3,097.28	$11,065.87
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