Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $9,859.00	Facility		$100.00	$1,749.77	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $121.83 / $121.83	Professional		$121.83	$121.83	$121.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $252.27 / $512.95 / $848.99	Professional		$252.27	$512.95	$848.99
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $2,875.00 / $4,410.00	Professional		$41.76	$2,875.00	$4,410.00