Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $868.50 / $3,421.08	Facility		$100.00	$868.50	$3,421.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.07 / $455.50 / $807.01	Professional		$292.07	$455.50	$807.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.92 / $630.92 / $630.92	Professional		$630.92	$630.92	$630.92
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 $315.38 / $525.41 / $764.77	Professional		$315.38	$525.41	$764.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.62 / $1,751.69 / $1,812.99	Facility		$539.62	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.43 / $753.61 / $1,464.38	Professional		$444.43	$753.61	$1,464.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $394.11 / $737.42 / $1,426.14	Professional		$394.11	$737.42	$1,426.14
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 $520.26 / $842.04 / $1,532.34	Professional		$520.26	$842.04	$1,532.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $264.88 / $397.32 / $570.58	Professional		$264.88	$397.32	$570.58