Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $840.00	Facility		$700.00	$700.00	$840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $69.39 / $73.08	Professional		$62.11	$69.39	$73.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $41.43 / $73.08	Professional		$41.43	$41.43	$73.08
United Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $41.43 / $41.43	Professional		$41.43	$41.43	$41.43
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