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 / $14,929.00	Facility		$100.00	$2,331.21	$14,929.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,107.91 / $10,107.91 / $10,987.30	Professional		$10,107.91	$10,107.91	$10,987.30
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 $1,025.23 / $1,385.70 / $14,271.51	Professional		$1,025.23	$1,385.70	$14,271.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,581.70 / $3,066.50 / $5,463.62	Professional		$1,581.70	$3,066.50	$5,463.62
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 $2,733.27 / $16,863.34 / $38,047.50	Professional		$2,733.27	$16,863.34	$38,047.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $8,300.50 / $9,130.54 / $10,000.00	Professional		$8,300.50	$9,130.54	$10,000.00