Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,106.75 / $3,106.75 / $3,822.86	Facility		$3,106.75	$3,106.75	$3,822.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,106.75 / $3,106.75 / $3,106.75	Professional		$3,106.75	$3,106.75	$3,106.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.04 / $0.05	Facility		$0.02	$0.04	$0.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,106.75 / $3,106.75	Professional		$3,045.83	$3,106.75	$3,106.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,259.60 / $5,045.35 / $9,588.98	Professional		$3,259.60	$5,045.35	$9,588.98
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $7,309.99	Professional		$3,045.83	$3,045.83	$7,309.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,890.00 / $3,179.00 / $4,046.00	Professional		$2,890.00	$3,179.00	$4,046.00