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 $189.34 / $243.52 / $264.68	Professional		$189.34	$243.52	$264.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $327.64 / $475.09	Professional		$235.16	$327.64	$475.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $299.39 / $478.01 / $840.05	Professional		$299.39	$478.01	$840.05
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.11 / $393.59 / $715.01	Professional		$326.11	$393.59	$715.01
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