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 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,571.78 / $1,571.78 / $1,713.37	Professional		$1,571.78	$1,571.78	$1,713.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $128.24 / $179.80	Professional		$56.55	$128.24	$179.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,740.41 / $3,452.63 / $5,733.08	Professional		$1,740.41	$3,452.63	$5,733.08
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,227.37 / $2,874.38 / $5,623.15	Professional		$2,227.37	$2,874.38	$5,623.15
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