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 / $10,670.00	Facility		$100.00	$2,331.21	$10,670.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,119.02 / $1,119.02 / $1,215.71	Professional		$1,119.02	$1,119.02	$1,215.71
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 $1,166.03 / $1,200.39 / $1,200.39	Professional		$1,166.03	$1,200.39	$1,200.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,253.22 / $2,392.57 / $4,126.58	Professional		$1,253.22	$2,392.57	$4,126.58
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 $1,299.55 / $1,938.08 / $4,457.05	Professional		$1,299.55	$1,938.08	$4,457.05
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