Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $9,772.37 / $14,791.08	Facility		$2,398.83	$9,772.37	$14,791.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,000.00 / $18,197.01	Facility		$8,912.51	$10,000.00	$18,197.01
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,235.94	Facility		$1,995.26	$1,995.26	$3,235.94
Well Sense Facility/Professional Facility Modifier 62 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	62	$1,148.15	$1,148.15	$1,148.15