Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,398.83 / $9,772.37	Facility		$100.00	$2,398.83	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,000.00 / $18,197.01	Facility		$8,912.51	$10,000.00	$18,197.01
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,388.44 / $7,413.10	Facility		$446.68	$3,388.44	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,388.44 / $7,413.10	Facility		$446.68	$3,388.44	$7,413.10
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,630.78 / $4,265.80	Facility		$2,570.40	$3,630.78	$4,265.80
Well Sense Facility/Professional Facility Modifier 62 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	62	$1,479.11	$1,479.11	$1,479.11