Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,258.93 / $9,772.37	Facility		$562.34	$1,258.93	$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 $977.24 / $4,570.88 / $11,220.18	Facility		$977.24	$4,570.88	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,570.88 / $11,220.18	Facility		$977.24	$4,570.88	$11,220.18
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $346.74 / $426.58	Facility		$257.04	$346.74	$426.58
Well Sense Facility/Professional Facility Modifier 62 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	62	$147.91	$147.91	$147.91