Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,918.31 / $20,892.96	Facility		$1,778.28	$6,918.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,467.37	Professional		$1,230.27	$1,737.80	$3,467.37
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $257.04 / $316.23 / $691.83	Professional	AS	$257.04	$316.23	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,202.26 / $2,238.72	Professional		$169.82	$1,202.26	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $33,113.11 / $50,118.72	Facility		$28,840.32	$33,113.11	$50,118.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,454.71 / $3,467.37	Professional		$1,148.15	$2,454.71	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $162.18 / $346.74 / $478.63	Professional	AS	$162.18	$346.74	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $3,890.45	Professional		$1,548.82	$2,511.89	$3,890.45
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $3,090.30	Professional		$1,348.96	$2,089.30	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility		$12,589.25	$12,589.25	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $3,630.78	Professional		$1,412.54	$2,089.30	$3,630.78
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,513.56	Facility		$954.99	$954.99	$1,513.56
Well Sense Facility/Professional Facility Modifier 50 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	50	$1,445.44	$1,445.44	$1,445.44