Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.68 / $1,022.00 / $4,732.99	Facility		$212.68	$1,022.00	$4,732.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $269.61 / $683.86	Professional		$200.71	$269.61	$683.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.10 / $363.10 / $363.10	Professional		$363.10	$363.10	$363.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.22 / $383.51 / $603.09	Professional		$244.22	$383.51	$603.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $460.77 / $793.11	Professional		$270.91	$460.77	$793.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $318.55 / $626.95 / $1,002.05	Professional		$318.55	$626.95	$1,002.05
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.94 / $468.17 / $1,270.06	Professional		$310.94	$468.17	$1,270.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $201.90 / $271.54 / $402.69	Professional		$201.90	$271.54	$402.69