Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,786.30 / $15,848.93	Facility		$2,398.83	$4,786.30	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $6,309.57	Facility		$3,467.37	$4,677.35	$6,309.57
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 $1,000.00 / $1,000.00 / $1,584.89	Facility		$1,000.00	$1,000.00	$1,584.89
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	50	$1,513.56	$1,513.56	$1,513.56