Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $519.69 / $6,067.00	Facility		$100.00	$519.69	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.27 / $402.68 / $541.30	Professional		$303.27	$402.68	$541.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $591.44 / $591.44 / $591.44	Professional		$591.44	$591.44	$591.44
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 $351.22 / $594.01 / $832.86	Professional		$351.22	$594.01	$832.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.06 / $904.93 / $1,427.91	Professional		$486.06	$904.93	$1,427.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $432.05 / $839.91 / $1,626.40	Professional		$432.05	$839.91	$1,626.40
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 $628.50 / $811.31 / $1,570.68	Professional		$628.50	$811.31	$1,570.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $384.65 / $513.24	Professional		$288.17	$384.65	$513.24