Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $158.49	Professional		$104.71	$104.71	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $229.09	Professional		$104.71	$104.71	$229.09
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89