Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,707.48 / $2,678.80	Facility		$100.00	$1,707.48	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.17 / $607.63 / $919.24	Professional		$431.17	$607.63	$919.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.84 / $232.84 / $232.84	Professional		$232.84	$232.84	$232.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.65 / $768.47 / $1,029.67	Professional		$465.65	$768.47	$1,029.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.21 / $2,000.36 / $2,070.38	Facility		$795.21	$2,000.36	$2,070.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $79.52	Facility	AS	$79.52	$79.52	$79.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.76 / $998.32 / $1,846.92	Professional		$637.76	$998.32	$1,846.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $576.41 / $1,028.41 / $1,878.75	Professional		$576.41	$1,028.41	$1,878.75
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.34 / $984.55 / $1,843.18	Professional		$731.34	$984.55	$1,843.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $366.78 / $513.49 / $637.00	Professional		$366.78	$513.49	$637.00