Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $112.20 / $131.83	Facility		$93.33	$112.20	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $123.03	Professional		$74.13	$95.50	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $331.13	Professional		$134.90	$208.93	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $275.42	Professional		$125.89	$125.89	$275.42
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,981.07	Facility		$2,511.89	$2,511.89	$3,981.07