Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.41 / $3,904.51 / $11,173.68	Facility		$558.41	$3,904.51	$11,173.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,538.76 / $13,538.76 / $13,538.76	Facility	50	$13,538.76	$13,538.76	$13,538.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.44 / $558.42 / $1,402.05	Professional		$497.44	$558.42	$1,402.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $744.14 / $855.22 / $2,127.28	Professional		$744.14	$855.22	$2,127.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.03 / $1,103.33 / $1,627.43	Professional		$701.03	$1,103.33	$1,627.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.11 / $1,453.95 / $2,438.46	Professional		$846.11	$1,453.95	$2,438.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $740.97 / $1,469.94 / $2,440.83	Professional		$740.97	$1,469.94	$2,440.83
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.16 / $1,160.48 / $2,266.01	Professional		$645.16	$1,160.48	$2,266.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $516.64 / $614.03 / $950.67	Professional		$516.64	$614.03	$950.67