Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $42.38 / $52.15	Facility		$42.38	$42.38	$52.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $42.38 / $42.38	Professional		$42.38	$42.38	$42.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $68.66 / $130.50	Professional		$44.36	$68.66	$130.50
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $47.44 / $60.38	Professional		$43.13	$47.44	$60.38