Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,375.50 / $24,366.53	Facility		$100.00	$5,375.50	$24,366.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,311.36 / $1,638.16 / $2,677.43	Professional		$1,311.36	$1,638.16	$2,677.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $1,419.51 / $4,666.64	Professional		$183.40	$1,419.51	$4,666.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,613.70 / $31,793.00 / $50,515.00	Facility		$28,613.70	$31,793.00	$50,515.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,414.84 / $2,426.19 / $3,616.45	Professional		$1,414.84	$2,426.19	$3,616.45
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $198.07 / $339.66 / $482.03	Professional	AS	$198.07	$339.66	$482.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,636.45 / $1,636.45 / $1,636.45	Facility		$1,636.45	$1,636.45	$1,636.45
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $161.91 / $161.91 / $161.91	Facility	AS	$161.91	$161.91	$161.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.20 / $2,714.67 / $4,241.12	Professional		$1,891.20	$2,714.67	$4,241.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,619.69 / $2,657.26 / $4,999.17	Professional		$1,619.69	$2,657.26	$4,999.17
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,648.13 / $2,227.61 / $4,372.64	Professional		$1,648.13	$2,227.61	$4,372.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,143.32 / $1,371.98 / $2,016.82	Professional		$1,143.32	$1,371.98	$2,016.82