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 / $21,126.00	Facility		$100.00	$2,331.21	$21,126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.49 / $835.49 / $908.19	Professional		$835.49	$835.49	$908.19
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 $445.04 / $628.42 / $877.60	Professional		$445.04	$628.42	$877.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $422.60 / $819.31 / $1,459.77	Professional		$422.60	$819.31	$1,459.77
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.20 / $1,436.39 / $3,144.92	Professional		$730.20	$1,436.39	$3,144.92
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