Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $116.19 / $153.37	Professional		$105.09	$116.19	$153.37
United Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $105.09 / $105.09	Professional		$105.09	$105.09	$105.09
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