Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,395.86 / $2,678.80	Facility		$100.00	$1,395.86	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $422.35 / $593.01	Professional		$219.67	$422.35	$593.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $324.20 / $324.20 / $324.20	Professional		$324.20	$324.20	$324.20
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 $136.36 / $233.52 / $361.33	Professional		$136.36	$233.52	$361.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $2,000.36 / $2,070.38	Facility		$240.69	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $383.78 / $825.89	Professional		$198.70	$383.78	$825.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $170.18 / $323.32 / $670.31	Professional		$170.18	$323.32	$670.31
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.07 / $646.15 / $1,205.46	Professional		$444.07	$646.15	$1,205.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $276.43 / $389.61 / $586.37	Professional		$276.43	$389.61	$586.37