Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $9,772.37	Facility		$1,819.70	$2,398.83	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $100.00	Professional		$53.70	$79.43	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $34.67	Professional		$33.11	$33.11	$34.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $208.93	Professional		$87.10	$131.83	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $190.55	Professional		$87.10	$107.15	$190.55
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89