Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $15,848.93	Facility		$1,621.81	$3,890.45	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,471.29 / $19,952.62	Facility		$9,332.54	$10,471.29	$19,952.62
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,677.35 / $12,302.69	Facility		$1,122.02	$4,677.35	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,677.35 / $12,302.69	Facility		$1,122.02	$4,677.35	$12,302.69
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,905.46	Facility		$1,122.02	$1,288.25	$1,905.46
Well Sense Facility/Professional Facility Modifier 62 Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	62	$645.65	$645.65	$645.65