Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $88.48	Facility		$79.00	$79.00	$88.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.36 / $834.67 / $1,199.74	Facility		$274.36	$834.67	$1,199.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $310.00 / $310.00	Professional		$310.00	$310.00	$310.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $125.76 / $194.65 / $369.95	Professional		$125.76	$194.65	$369.95
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $195.94 / $221.41	Professional		$195.94	$195.94	$221.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $89.98 / $145.91	Professional		$77.04	$89.98	$145.91