Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,415.43 / $9,859.00	Facility		$100.00	$4,415.43	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.58 / $1,313.50 / $3,204.47	Professional		$1,228.58	$1,313.50	$3,204.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,272.51 / $2,001.66 / $3,452.23	Professional		$1,272.51	$2,001.66	$3,452.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,602.44 / $2,616.86 / $5,183.01	Professional		$1,602.44	$2,616.86	$5,183.01
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,386.31 / $1,940.83 / $3,892.29	Professional		$1,386.31	$1,940.83	$3,892.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,041.28 / $1,145.41 / $1,457.79	Professional		$1,041.28	$1,145.41	$1,457.79