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 $98.84 / $98.84 / $126.94	Professional		$98.84	$98.84	$126.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $222.14 / $366.51	Professional		$119.68	$222.14	$366.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $185.95 / $243.49 / $5,609.01	Professional		$185.95	$243.49	$5,609.01
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.06 / $209.49 / $752.66	Professional		$166.06	$209.49	$752.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $104.87 / $133.47	Professional		$95.34	$104.87	$133.47