Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $15,848.93	Facility		$2,398.83	$3,981.07	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $33,884.42 / $50,118.72	Facility		$30,199.52	$33,884.42	$50,118.72
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,380.38	Facility		$851.14	$851.14	$1,380.38
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	50	$1,288.25	$1,288.25	$1,288.25