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 $870.61 / $912.18 / $1,259.85	Professional		$870.61	$912.18	$1,259.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.93 / $1,580.83 / $2,407.66	Professional		$941.93	$1,580.83	$2,407.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,078.31 / $1,769.08 / $3,328.20	Professional		$1,078.31	$1,769.08	$3,328.20
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.64 / $1,317.17 / $2,628.04	Professional		$1,097.64	$1,317.17	$2,628.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $754.48 / $829.93 / $1,056.27	Professional		$754.48	$829.93	$1,056.27