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 / $22,533.00	Facility		$100.00	$2,331.21	$22,533.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.39 / $1,328.39 / $1,443.21	Professional		$1,328.39	$1,328.39	$1,443.21
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 $1,234.48 / $2,618.96 / $3,657.40	Professional		$1,234.48	$2,618.96	$3,657.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,813.60 / $3,516.10 / $6,264.68	Professional		$1,813.60	$3,516.10	$6,264.68
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 $1,815.89 / $2,561.62 / $5,042.54	Professional		$1,815.89	$2,561.62	$5,042.54
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