Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,762.47 / $9,772.37	Facility		$2,398.83	$7,762.47	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $18,197.01 / $28,840.32	Facility		$5,623.41	$18,197.01	$28,840.32
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,265.80 / $9,549.93	Facility		$691.83	$4,265.80	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,265.80 / $9,549.93	Facility		$691.83	$4,265.80	$9,549.93
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $2,754.23	Facility		$1,621.81	$2,238.72	$2,754.23