Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,370.32 / $38,018.94	Facility		$2,398.83	$5,370.32	$38,018.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $3,801.89	Professional		$1,148.15	$1,445.44	$3,801.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $6,309.57	Facility		$3,467.37	$4,677.35	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $3,801.89	Professional		$1,380.38	$2,630.27	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $3,890.45	Professional		$1,348.96	$2,137.96	$3,890.45
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $4,365.16	Professional		$1,621.81	$2,691.53	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $5,248.07	Professional		$1,445.44	$2,344.23	$5,248.07
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,862.09	Facility		$1,513.56	$1,513.56	$1,862.09