Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,819.70 / $9,772.37	Facility		$398.11	$1,819.70	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,630.27	Facility		$1,288.25	$1,412.54	$2,630.27
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $7,413.10	Facility		$3,388.44	$3,388.44	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $7,413.10	Facility		$3,388.44	$3,388.44	$7,413.10
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62