Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.70 / $939.17 / $2,398.41	Facility		$668.70	$939.17	$2,398.41
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $663.43 / $1,572.53 / $2,678.80	Facility	54	$663.43	$1,572.53	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.36 / $668.11 / $1,044.88	Professional		$477.36	$668.11	$1,044.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $635.32 / $635.32 / $1,710.62	Professional		$635.32	$635.32	$1,710.62
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 $515.28 / $796.71 / $1,117.06	Professional		$515.28	$796.71	$1,117.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $879.98 / $2,000.36 / $2,070.38	Facility		$879.98	$2,000.36	$2,070.38
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $615.99 / $615.99 / $615.99	Facility	54	$615.99	$615.99	$615.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.46 / $1,039.13 / $1,591.74	Professional		$702.46	$1,039.13	$1,591.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $616.26 / $972.43 / $1,917.16	Professional		$616.26	$972.43	$1,917.16
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.22 / $828.96 / $1,615.26	Professional		$642.22	$828.96	$1,615.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $430.63 / $516.76 / $703.99	Professional		$430.63	$516.76	$703.99