Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $25.37	Facility		$20.62	$20.62	$25.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $20.62 / $20.62	Professional		$20.62	$20.62	$20.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $29.48 / $80.88	Facility		$23.49	$29.48	$80.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $20.62 / $20.62	Professional		$19.64	$20.62	$20.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $32.71 / $62.16	Professional		$21.13	$32.71	$62.16
United Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $38.32 / $3,000.00	Professional		$30.64	$38.32	$3,000.00