Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,091.84 / $2,678.80	Facility		$100.00	$1,091.84	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $323.76 / $491.18	Professional		$269.50	$323.76	$491.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $300.52 / $300.52	Professional		$300.52	$300.52	$300.52
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 $280.80 / $442.54 / $618.00	Professional		$280.80	$442.54	$618.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.02 / $2,000.36 / $2,070.38	Facility		$480.02	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.74 / $579.07 / $909.86	Professional		$378.74	$579.07	$909.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $338.04 / $541.94 / $1,046.59	Professional		$338.04	$541.94	$1,046.59
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 $356.71 / $518.49 / $952.10	Professional		$356.71	$518.49	$952.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $222.46 / $259.83 / $311.44	Professional		$222.46	$259.83	$311.44