Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,808.72 / $9,859.00	Facility		$100.00	$3,808.72	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.34 / $1,150.63 / $2,764.04	Professional		$1,087.34	$1,150.63	$2,764.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.46 / $1,729.44 / $2,982.73	Professional		$1,099.46	$1,729.44	$2,982.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,384.52 / $2,260.98 / $4,478.14	Professional		$1,384.52	$2,260.98	$4,478.14
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,432.59 / $1,773.31 / $3,370.85	Professional		$1,432.59	$1,773.31	$3,370.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $899.48 / $989.43 / $1,259.27	Professional		$899.48	$989.43	$1,259.27