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 $3,625.89 / $3,839.56 / $4,464.42	Professional		$3,625.89	$3,839.56	$4,464.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,300.00	Facility		$8,512.20	$9,458.00	$17,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,409.66 / $2,334.00 / $3,301.76	Professional		$1,409.66	$2,334.00	$3,301.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $25,496.02 / $42,854.21 / $60,146.16	Professional		$25,496.02	$42,854.21	$60,146.16
United Facility/Professional Professional Modifier Low / Median / High Price $4,188.07 / $5,202.47 / $12,996.73	Professional		$4,188.07	$5,202.47	$12,996.73
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