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 $823.13 / $920.94 / $1,171.17	Professional		$823.13	$920.94	$1,171.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $36,315.22 / $63,311.75	Facility		$3,669.00	$36,315.22	$63,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.29 / $1,493.61 / $2,265.44	Professional		$886.29	$1,493.61	$2,265.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,014.62 / $1,596.20 / $3,131.62	Professional		$1,014.62	$1,596.20	$3,131.62
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.86 / $1,373.80 / $2,696.68	Professional		$999.86	$1,373.80	$2,696.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $706.48 / $777.13 / $989.07	Professional		$706.48	$777.13	$989.07