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 $791.78 / $1,009.44 / $1,096.64	Professional		$791.78	$1,009.44	$1,096.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.57 / $1,594.24 / $2,311.64	Professional		$986.57	$1,594.24	$2,311.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $994.29 / $1,623.72 / $3,215.99	Professional		$994.29	$1,623.72	$3,215.99
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 $1,379.91 / $1,623.35 / $2,980.25	Professional		$1,379.91	$1,623.35	$2,980.25
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