Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,623.41 / $9,772.37	Facility		$2,398.83	$5,623.41	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,964.78 / $16,982.44	Facility		$3,890.45	$10,964.78	$16,982.44
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 $1,202.26 / $1,621.81 / $1,995.26	Facility		$1,202.26	$1,621.81	$1,995.26