Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $15,848.93	Facility		$2,398.83	$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 $1,258.93 / $1,737.80 / $2,137.96	Facility		$1,258.93	$1,737.80	$2,137.96
Well Sense Facility/Professional Facility Modifier 62 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	62	$724.44	$724.44	$724.44