Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,860.63 / $6,544.88	Facility		$100.00	$1,860.63	$6,544.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.83 / $576.40 / $928.00	Professional		$410.83	$576.40	$928.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $437.96 / $437.96 / $437.96	Professional		$437.96	$437.96	$437.96
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 $437.37 / $718.80 / $985.39	Professional		$437.37	$718.80	$985.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.98 / $2,000.36 / $2,070.38	Facility		$750.98	$2,000.36	$2,070.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.09 / $75.09 / $75.09	Facility	AS	$75.09	$75.09	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.37 / $929.83 / $1,647.49	Professional		$614.37	$929.83	$1,647.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $542.05 / $946.07 / $1,766.75	Professional		$542.05	$946.07	$1,766.75
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 $724.29 / $982.65 / $1,804.44	Professional		$724.29	$982.65	$1,804.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $548.54 / $716.84	Professional		$380.62	$548.54	$716.84