Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.42 / $119.42 / $143.30	Facility		$119.42	$119.42	$143.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.42 / $119.42 / $119.42	Professional		$119.42	$119.42	$119.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $50.25	Professional		$50.25	$50.25	$50.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $165.14 / $336.09	Professional		$108.89	$165.14	$336.09
United Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $108.89 / $108.89	Professional		$108.89	$108.89	$108.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00