Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $8,965.00	Facility		$100.00	$1,749.77	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $805.00 / $1,110.00	Professional		$202.00	$805.00	$1,110.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $273.08 / $386.30	Professional		$164.00	$273.08	$386.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $277.27 / $497.01 / $654.12	Professional		$277.27	$497.01	$654.12
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $3,360.00 / $7,448.00	Facility		$75.00	$3,360.00	$7,448.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $2,920.00 / $3,000.00	Professional		$2,750.00	$2,920.00	$3,000.00