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 / $11,351.00	Facility		$100.00	$2,331.21	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.95 / $798.93 / $870.89	Professional		$637.95	$798.93	$870.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.82 / $1,226.75 / $1,778.78	Professional		$759.82	$1,226.75	$1,778.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $973.12 / $1,553.71 / $2,730.47	Professional		$973.12	$1,553.71	$2,730.47
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 $1,131.67 / $1,316.09 / $2,461.44	Professional		$1,131.67	$1,316.09	$2,461.44
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